• Title/Summary/Keyword: 대체 요법

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A case of enlarged uterine myoma on postmenopausal women those who taking H.R.T (호르몬 대체요법 중 증대된 자궁근종 환자 1례의 임상에 관한 연구)

  • Lee, Tae-Kyun;Kim, Dong-Il
    • The Journal of Korean Obstetrics and Gynecology
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    • v.15 no.4
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    • pp.238-246
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    • 2002
  • Recently we observed and treated a 49-year-old postmenopausal female with enlarged uterine myoma who taking through the hormone replacement therapy(H.R.T). We regard the cause of this case as insufficiency of kidney-yin(腎陰虛), stagnation or the phlegm and pathologic blood(痰瘀阻滯) and H.R.T. ln general cases, myomas grow in size if estrogen and progesterone is present and do not increase in size if estrogen and progesterone levels are low. So if a woman can get to menopause without having symptoms from the myomas, then it is likely that she will never have problems from the growths that require treatment. But Taking postmenopausal estrogen and progestin replacement therapy can cause myomas to grow. So we recommended her to stop the H.R.T. gave herbal-medicine and acupuncture therapy. Thus we could get a good result as follows. The uterine myomas were significantly declined but no change on it's characters. Hot flush and general conditions were also significantly improved And body weight was lessened for about 4.7kg. But vaginal dryness was appeared, So we planed another therapy for that symptom.

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A Study on the Using Patterns of Alternative Therapy in Arthritics living in the Metropolitan Area (관절염 환자의 대체요법 이용양상에 관한 연구 - 수도권 거주 관절염 환자를 대상으로 -)

  • Nam, Hey-Hyeon
    • Journal of muscle and joint health
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    • v.12 no.1
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    • pp.16-27
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    • 2005
  • Purpose: This study was to investigate the using pattern of alternative therapies in chronic arthritics. Method: We interviewed 192 Arthritis patients lived in the metropolitan area with structured questionnaire from August to september in 2004. Data were analyzed statistically by using SPSS program. Result: Results were summarized as follows; 1. 89.0% of subjects had utilized one or more types of alternative therapies 80.8% of these patients did not consult a nurse or doctor with using alternative therapies. 2. 87.7% of subjects obtained information of using the alternative therapy from similar patients, their families or relatives etc. The most frequently used types of alternative therapies are hand acupuncture(58.0%), bathing(29.6%), massage(25.4%) taping therapy(13.0%). 3. After using alternative therapies, over 80% of subjects answered that they were satisfied to effects of alternative therapies and only 9.4% of them responded that they experienced side effects from use of alternative therapies. Conclusion: results of the study showed that most of patients with arthritis have used alternative therapies, they were satisfied to effect of using alternative therapies. Therefore, many research for use of alternative therapy and the development of standardized protocol of nursing intervention appling alternative therapy need to be achieved.

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Analysis of Drug Compliance Status for the Hormone Replacement Therapy (HRT) Treatment Patients (호르몬대체요법 환자의 복약실태분석)

  • Hong, Sun Shik;Lee, Eui Kyoung
    • Korean Journal of Clinical Pharmacy
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    • v.10 no.1
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    • pp.7-12
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    • 2000
  • This study is intended to provide information to menopausal women so they can control their symptoms. The basic data was gathered by interviewed 200 postmenopausal women on a HRT program. The women were questioned about their perception of menopause and compliance to the therapy with the fellowing result $71.7\%$ of the women experianced hot flushes, and $64.1\%$ experienced short term memory loss and some psychological symptoms. The women reported that these symptoms reduced their quality of life. $53\%$ of the women responded that menopause is a natural state and $59.1\%$ agreed to HRT based on their doctor's recommendation. $76.2\%$ of the women reported that HRT was effective, with $74.7\%$ reporting reduced hot flush symptoms $67.3\%$ of the women reported compliance with the medication schedule. and $43.9\%$ reported periodic non-compliance. Although HRT has been shown to be an effective treatment, the study found that less than $10\%$ of postmenopausal women are currently being treated and these treated women are generally negligent in continuing with HRT, The study recommends that a program be developed that explains the benefits and risks of HRT to be distributed to patients being treated by doctors and pharmacists. In conclusions, It is very important for hormone replacement therapy on menopausal women to take more intensive medication consultation to increase medication compliance and effectiveness of pharmacotherapy.

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A statistical analysis on the selection of the optimal covariance matrix pattern for the cholesterol data (콜레스테롤 자료에 대한 적정 공분산행렬 형태 산출에 관한 통계적 분석)

  • Jo, Jin-Nam;Baik, Jai-Wook
    • Journal of the Korean Data and Information Science Society
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    • v.21 no.6
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    • pp.1263-1270
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    • 2010
  • Sixty patients were divided into three groups. Each group of twenty persons had fed on different diet foods over 5 weeks. Cholesterol had been measured repeatedly five times at an interval of a week during 5 weeks. It resulted from mixed model analysis of repeated measurements data that homogeneous toeplitz covariance matrix pattern was selected as the optimal covariance pattern. The correlations between measurements of different times for the covariance matrix are somewhat highly correlated as 0.64-0.78. Based upon the homogeneous toeplitz covariance pattern model, the time effect was found to be highly significant, but the treatment effect and treatment-time interaction effect were found to be insignificant.

Understanding Qi: Its Development and Clinical Application to Nursing Practices (기 개념의 이해와 간호 실무 적용)

  • Kim, Myung-Ja
    • Journal of Korean Academy of Nursing
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    • v.38 no.3
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    • pp.445-453
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    • 2008
  • Purpose: This paper analyzed the historical origins of the Qi concept and assesses its possible contribution to the development of complementary therapy and new nursing practices. Methods: In order to clarify the Qi concept measure its theoretical/clinical potentials, this study analyzed both historical data and experimental research that adopt and apply the concept. These include modern/contemporary research measuring its effects in promoting mental and physical health. Using the method of cross-cultural comparison, this study analyzed diverse approaches to the Qi concept and sought to find common features among the approaches. Results: A historical, cross-cultural analysis revealed several fundamental similarities between Qi theories that have developed in the east and the holistic concepts that have evolved in the western traditions. Especially, the analysis of the more recent research on the Qi concept shows ample possibilities of its future contributions to the development of new diagnostic applications and the promotion of overall human health. Conclusion: The historical study of the Qi concept found some key common factors in the diverse philosophical traditions in the east and the west. Considering the growing popularity of complementary therapy among health professionals and the general public, the Qi concept and its clinical applications are expected to promote human health. In this context, this research contributes to developing new nursing practices based on the concept by clarifying its philosophical origins and theoretical backgrounds.

Perception of Touch Therapies Among Nurses Who Take Care of Cancer Patients (암환자를 돌보는 간호사의 접촉 관련 중재에 대한 인식)

  • Kwon, So-Hi;Kim, Keum-Soon
    • The Korean Journal of Rehabilitation Nursing
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    • v.9 no.1
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    • pp.56-63
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    • 2006
  • Purpose: The objectives of this study were to investigate perception of touch therapies among nurses who looking after cancer patients, ultimately to probe possibility of utilization of touch therapies as nursing interventions. Method: A descriptive study conducted from Dec. 2005 to Jan. 2006. 270 nurses taking care of cancer patients in 2 urban hospital were completed self-report questionnaire about general characteristics, utilization of touch therapies, willingness to adopt touch therapies in their practice, and perception of safety and effectiveness of touch therapies. Result: The participants were average 27.97 year-old, 60% of them had bachelor's degree, most of them were staff nurses(83.0%), and 34.6% of them were 3-5 years experienced in oncology nursing. Among 5 touch therapies(therapeutic touch, massage, reflexology, acupressure, and acupuncture), massage was the most positively perceived therapy not only the aspects of safety(67.1%) and effectiveness(65.9%), but also willingness to utilize in their practice(71.2%). There was no significant difference in willingness to utilize in their practice per age and years of working in oncology nursing. Older and more experienced groups perceived more positively to massage and reflexology. Conclusion: Massage might be readily adopted as a nursing intervention in oncology nursing practice. Strategies to encourage the utilization of touch therapies as nursing intervention should be established.

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EFFECT OF 5-FLOROURACIL ON THE POSTANATAL DELEVELOPMENT OF THE CONDYLE IN MICE

  • Im, Cheol-Jung
    • The Journal of the Korean dental association
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    • v.14 no.3
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    • pp.285-295
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    • 1976
  • 항암 화학요법제의 하나인 5-Fluorouracil 이 과상돌기의 성장에 미치는 영향을 연구하기 위하여 20두의 백서를 반씩 나누어 실험군에는 동약물을 체중 kg당 25mg씩 2일간 복강내주사하고 대조군에는 생리식 염수를 주사한 후 각각 제1,3,7,14 및 21일에 두 마리씩 도살하여 과상골디연골부의 조직학적 변화를 관찰하였다. 또한 도살 2시간 전에 5μCi/kg mM 의 ³H-thymidine을 주사하여 표본의 일부는 자기방사법적으로 처리 관찰 하였다. 관찰 결과는 다음과 같다. 1. 과상돌기 연골부의 후경에 상당한 감소가 일어났으며 제7일에서 가장 현저하였다. 2. 이러한 영향은 연골제거대와 세포증식대에서 가장크고 그 다음이 비대층이었다. 3. 제 7일의 변화 증식대엣는 기질 호 염색성의 증가, 핵 형태의 난원형화가 오고 소와내의 세포수는 1~2개였다. 비태층의 소와는 현저하게 작아지고 기질의 호염기성이 뚜렷하며 세포의 배열은 츹어지고 약간의 핵은 그 배 열이 불규칙하며 숫자고 대조군보다 적었다. 4. 위와같은 변화는 제 14일에서 감소하고 점차 회복적인 조직소견을 보여 제21일에는 성장이 거의 대조군에 근접한 조직상을 보였다. 5. 자기방사법적으로 세포증식대 및 연골제거대에서 세포분열에 대한 억제효과를 관찰한 바 제 7일 에서 가장 시하였고 특히 연골제거대에서 심하였다. 대체적으로 자기방사법적 관찰소견은 조직학적 소견과 일치하였다. 결론적으로 하악골 과상돌기의 성장은 5-Fluorouracil의 영향하에서 세포의 증식 및 분화상태로 보아 일정기간동안 저해되며 제 7일의 극기를 지나 점차 회복되어감을 나타내었다.

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Extracorporeal Membrane Oxygenation and Continuous Renal Replacement Therapy for Treatment of Calcium Channel Blockers, Angiotensin II Receptor Blockers, and Metformin Overdose (에크모와 신대체요법을 이용하여 치료한 칼슘채널차단제, 안지오텐신 수용체 차단제, 메트포민 중독 환자 증례)

  • Jeong, Jae Han;Sun, Kyung Hoon;Park, Yong Jin;Kim, Sun Pyo
    • Journal of The Korean Society of Clinical Toxicology
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    • v.16 no.2
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    • pp.165-171
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    • 2018
  • An overdose of antihypertensive agents, such calcium channel blockers (CCBs) and angiotensin II receptor blocker (ARBs), and the antihyperglycemic agent, metformin, leads to hypotension and lactic acidosis, respectively. A 40-year-old hypertensive and diabetic man with hyperlipidemia and a weight of 110 kg presented to the emergency room with vomiting, dizziness, and hypotension following an attempted drug overdose suicide with combined CCBs, ARBs, 3-hydroxy-3-methylglutaryl-coemzyme A reductase inhibitors, and metformins. A conventional medical treatment initially administered proved ineffective. The treatment was then changed to simultaneous extracorporeal membrane oxygenation (ECMO) and continuous renal replacement therapy (CRRT), which was effective. This shows that simultaneous ECMO and CRRT can be an effective treatment protocol in cases of ineffective conventional medical therapy for hypotension and lactic acidosis due to an overdose of antihypertensive agents and metformin, respectively.

Factors influencing quality of life in post-menopausal women (폐경 여성의 삶의 질 영향요인)

  • Shin, Hyunsook;Lee, Eunjoo
    • Women's Health Nursing
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    • v.26 no.4
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    • pp.336-345
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    • 2020
  • Purpose: This study aimed to identify factors influencing quality of life in post-menopausal women. Methods: The participants were 194 post-menopausal women who visited a women's clinic in Changwon, Korea from July 1 to August 31, 2018, and completed questionnaires containing items on menopausal symptoms, marital intimacy, current menopausal hormone therapy (MHT), and quality of life. Collected data were analyzed by descriptive statistics, the independent t-test, Pearson correlation coefficients, and multiple regression using SPSS for Windows version 23.0. Results: Quality of life had a significant negative correlation with menopausal symptoms (r=-.40, p<.001), and a significant positive correlation with marital intimacy (r=.54, p<.001). The factors influencing the quality of life of post-menopausal women were current MHT (t=6.32, p<.001), marital intimacy (t=4.94, p<.001), monthly family income (t=4.78, p<.001), menopausal symptoms (t=-4.37, p<.001), and education level (t=3.66, p<.001). These variables had an explanatory power of 59.2% for quality of life in post-menopausal women. Conclusion: In order to improve the quality of life of post-menopausal women, nursing interventions are needed to help menopausal women choose appropriate MHT, alleviate menopausal symptoms, and increase marital intimacy. Interventions should also be prioritized for women of a low educational level and with a low income in consideration of their health problems.

Ionized Cal/MagTM Complex as an Alternative Supplement for Enhancing Bone Mineral Density - Preliminary Results from Primary Care Centers - (골밀도 향상을 위한 대체 요법으로 칼슘/마그네슘 복합체의 효능)

  • Shin, Dongho;Lee, Dong Sup;Lee, Sean S.;Kim, Sae Woong
    • The Korean Journal of Food And Nutrition
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    • v.35 no.5
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    • pp.295-301
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    • 2022
  • The medicines for treating osteoporosis currently in use have minor to severe side effects, and can be financially burdensome. Thus, there is a need for prevention and alternative supplement that is relatively inexpensive, and can be easily consumed daily as an alternative dietary therapy. In this study, bone marrow density of the spine and femur of osteoporosis patients were checked before and after consuming complex composed of calcium and magnesium, considered to be the core of bone mineral content. November 2017-November 2021, patients with T-score of less than -2.5 or -1.0 < T-score < -2.5 with history of fractures or recent fractures were enrolled. The data of 60 patients who orally administered Ionized Cal/MagTM Complex were reviewed retrospectively, and it was significantly confirmed that the average value of T-score was up-regulated by 0.5. Additionally, the cumulative dose was observed to have a positive effect, on the improvement of BMD in the 2nd Lumbar and Femur neck. It is expected that better results will be achieved if use of the supplement is continued.