• Title/Summary/Keyword: 수부

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Congenital Constriction Band Syndrome of Hand ; The Correction Under The Microscope (선천성 수부 윤상 수축대 증후군에 대한 미세현미경을 이용한 수술적 교정)

  • Hwang, Ho;Kim, Yong-Kyu;Whang, Jong-Ick
    • Archives of Reconstructive Microsurgery
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    • v.14 no.1
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    • pp.70-76
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    • 2005
  • The Z-plasty has been known as a most common surgical treatment of congenital circumferential constriction band syndrome of the hand. There were thirteen patients of congenital circumferential constriction band syndrome of the hand. All patients underwent Z-plasty under microscope. we did microsurgical dissection to minimize vascular, neural and lymphatic injury, and then considering secondary correction and scar contracture, tried to preserve as much subcutaneous fat and skin flap as possible without any excision. There were less skin necrosis and lymphedema as a result of vascular compromise. Using microscope offers several advantages. First, preventing vascular, neural and lymphatic injury. Second, getting an accurate suture approximation. finally, preserving as much subcutaneous fat and skin flap as possible without any excision. The outcome of digit growth and contour can be excellent than we expected. As a results, we believe that correction of congenital circumferential constriction band syndrome of the hand under the microscope have better results.

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Four cases of Soyangins vitiligo patients gotten better by Oriental medical treatment who have the symptoms in the hands (소양인 수부 백반증 한방치험 4례)

  • Hong, Yo-Han;Kim, Sung-Won;Cho, Young-Chen
    • The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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    • v.28 no.1
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    • pp.152-159
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    • 2015
  • Purpose : This rearch aims to prove effects of an oriental medical complex therapy on vitiligo patients who have the symptoms in the hands. Method : The rearch conducted its investigation targeting these four patients who have the symptoms in the hands. The study resolved the findings through the comparison on the pictures before and after the therapy. Result : After making a comparison on the pictures, the study confirmed positive changes in the conditions of the patients. The oriental medical complex therapy turned out to be effective enough to treat the patients who have the symptoms in the hands. Conclusion : Such result leads the study to a conclusion that the oriental medical complex therapy can be an effective method to treat these patients who have the symptoms in the hands. In addition, more case studies and research will be necessary.

Temperature Changes in both Palm before and after Herbal Medicine Administration for Palmar Hyperhidrosis (수부 다한증에서 한약치료 후 양수부의 온도 변화)

  • Lee Si Hyeong;Park Byong Min;Yu Yun Cho
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.17 no.5
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    • pp.1343-1346
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    • 2003
  • Monitoring the skin temperature changes of the palm during video endoscopic thoracic sympathicotomy has been used as a measure of the success of the surgery for palmar hyperhidrosis. So we measured palmar skin temperature on both sides after administration of herbal medicine to learn whether we can use it as a indicator of herbal medicine effect, and to see it's mechanism. Seven patients (15 to 19 years old) with palmar hyperhidrosis underwent administration of herbal medicine. The palmar skin temperature was measured by comparing the changes of skin temperature before and after administration of herbal medicine for palmar hyperhidrosis. After the administration, temperature of the left palm was elevated(before. 26.16±2.13℃ vs. after. 30.62±1.84℃, p<0.05), and temperature of the right palm was also elevated(before. 26.14±2.28℃ vs. after. 30.91 ±1.67℃, p<0.05). These results suggest that the administration of herbal medicine is not only the symptoms of hyperhidrosis abolished but also the skin temperature of palm is elevated.

Effects on Blood Flow Velocity, Wound Healing and Pain in Hand Microsurgery Patients Following Heating on Non-affected Side (건측 온열요법이 수부 미세수술 환자의 혈류속도, 상처치유 및 통증에 미치는 효과)

  • Kim, Min-Suk;So, Hee-Young
    • Journal of Korean Academy of Nursing
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    • v.42 no.4
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    • pp.579-588
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    • 2012
  • Purpose: The purpose of this study was to identify the effects of heating on the non-affected hand on blood flow velocity, wound healing, and pain for hand microsurgery patients. Methods: This study was designed using the nonequivalent control group pretest-posttest design. Thirty-nine patients were assigned either to the experimental group (20 patients) or control group (19 patients). Data were analyzed with $x^2$-test, Fisher's exact test, t-test, and repeated measure ANOVA using SPSS/WIN 17.0 program. Results: After treatment in this program, blood flow velocity (F=5.13, p=.008) and wound healing (F=4.11, p=.020) improved significantly in the experimental group compared to the control group. But there was no significant improvement in pain in the experimental group compared to the control group (F=2.40, p=.097). Conclusion: Based upon these results, the non-affected side hand heating was recommended as an independent nursing intervention for the patients who need improvement in blood flow velocity and wound healing such as patients who have microsurgery. As the heating was effective even when applied on the non-affected side, it is the applicable to patients who cannot tolerate any therapy on affected side.

Is the Distant Pedicled Flap Still Useful in Reconstruction of the Injured Hand? (원위 유경 피판(distant pedicled flap)은 아직도 수부 재건에 유용한가?)

  • Choi, Soo-Joong;Kwon, Bong-Cheol;Lee, Yong-Beom;Ahan, Hee-Chan
    • Archives of Reconstructive Microsurgery
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    • v.17 no.2
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    • pp.61-67
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    • 2008
  • Introduction: The purpose of this study is to evaluate the necessity of distant pedicled flap in the treatment of soft tissue defects in the hand. Materials and Methods: Distant pedicled flap was performed in the 25 hands of 25 patients from 2000 to 2004. There were 20 males and 5 females and mean age was 34 years. The surgery was done for electrical burns in 13 patients, flame burns in 8 patients and crushing injuies in 4 patients. Results: We have performed 25 distant pedicled flaps for the coverage of soft tissue defects in the hands when local and free flaps were unavailable. Soft tissue coverages by distant pedicled flap were completely successful in all the 25 hands. No complication such as total flap loss, marginal flap loss and infection occurred. Conclusion: Distant pedicled flaps were very useful alternative method in the treatment of soft tissue defect in the hand.

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Bizarre Parosteal Osteochondromatous Proliferation in the First Metatarsal Bone: A Case Report (제 1 중족골에 발생한 기괴 방골성 골연골성 증식증: 증례 보고)

  • Kim, Woo-Sung;Jung, Yu-Hun;Oh, Sang-Hun;Han, Eun-Mee
    • The Journal of the Korean bone and joint tumor society
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    • v.20 no.2
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    • pp.104-108
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    • 2014
  • Bizarre parosteal osteochondromatous proliferation (Nora's lesion) is a rare benign tumor and known to be primarily occur in the small tubular bone of the hands and feet. However, it is very unusual to be reported that it occurs in metatarsal bone in Korea. Thus, we report this tumor of metatarsal bone including the literature review because we have experienced this example.

Enchondroma of the Calcaneus: A Case Report (종골에 발생한 내연골종: 증례 보고)

  • Min, Hak-Jin;Yoon, Ui-Seoung;Seo, Jae-Sung;Kim, Jin-Soo;Baek, Seung-Yub
    • The Journal of the Korean bone and joint tumor society
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    • v.16 no.2
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    • pp.87-90
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    • 2010
  • Enchondroma is a benign tumor mainly developed in the hand and uncommon in the foot. Even if it is in the foot, most are in the phalanges and distal metatarsals of the foot. Enchondroma in the calcaneus is very rare. A 44-year-old male suffered from left heel pain for several months, authors treated it with curettage and bone graft, it was histologically confirmed as an enchondroma in the calcaneus. The authors presented a rare case presentation of an enchondroma in the calcaneus with pain.

Fibro-osseous Pseudotumor of the Great Toe: A Case Report (제 1족지에 발생한 섬유골성 가종양: 1예 보고)

  • Song, Woo-Suk;Choi, Joon-Cheol;Kim, Hak-Soo;Han, Eun-Mee
    • The Journal of the Korean bone and joint tumor society
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    • v.16 no.2
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    • pp.91-94
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    • 2010
  • Fibro-osseous pseudotumor is an extremely rare benign lesion which is fast-growing and painful. It is often misdiagnosed as a malignancy, but it is a noninvasive entity and can be cured by simple resection. We report a case of fibro-osseous pseudotumor of the distal phalanx of great toe in 20-year-old female patient who present with painful mass.

Body Composition Analysis Study of Postpartum Women With Cold-Hypersensitivity (수부냉증이 있는 산모의 체성분학적 특성 분석)

  • Lee, Mi-Joo;Lee, Chang-Hoon;Lee, Kyung-Sub
    • Journal of Oriental Medical Thermology
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    • v.9 no.1
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    • pp.22-28
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    • 2011
  • Purpose :To analyze body composition in postpartum women with cold-hypersensitivity, their edema index, skelectal muscle's weight and body fat were measured and analyzed with cold hypersensitive postpartum women compared with those of non-cold hypersensitivity. Methods : We studied 38 postpartum women visiting Gangnam Kyung-Hee Korean Hospital from 1 st October 2010 to 30th september 2011. they were subjected to Digital Infrared Thermal Imaging and those with thermal difference greater than $0.3^{\circ}C$ between anterior forearm and center of hand were diagnosed with cold hypersensitivity. Cold hypersensitivity group were consisted of 11 women, the other were consisted of 26 women. All of them were measured Edema index, skelectal muscle's weight and body fat by Inbody720(body composition scanner). We studied the difference of Body composition factor between two groups and relationship between cold-hypersensitivity, Edema index, skelectal muscle's weight and body fat by Independent Samples T-test and Spearman Correlation. Results : No significant differences were observed in edema index, skelectal muscle's weight and body fat between two groups. Conclusion : There was no significant relationship among the Cold-hypersensitivity and Body composition factor(Edema index, skelectal muscle's weight. body fat). But furthemore large scale study is required.

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Activity of Daily Living, Interpersonal Relationship, Depression and Health-related Quality of Life in Patients with Hand Microsurgery (수부손상 환자의 일상생활 수행능력, 대인관계, 우울 및 건강 관련 삶의 질)

  • Gang, Moon-Hee;Yoon, Soon-Young;Kwon, Myoung-Jin
    • Korean Journal of Occupational Health Nursing
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    • v.20 no.3
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    • pp.289-298
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    • 2011
  • Purpose: The purpose of this study was to explore status of activity of daily living, interpersonal relationship, depression and health-related quality of life in patients with traumatic hand injury and identify factors that influence health-related quality of life. Methods: The participants were 104 outpatients with impending hand microsurgery from D city. The data were analyed using Pearson's correlation, t-test, ANOVA, and hierarchical regression with SPSS/WIN 12.0. Results: There were statistically significant differences in HRQoL to gender, age, marital state, and level of pain. HRQoL had significant correlations with ADL, IADL, relationship change, and depression. In regression analysis, depression, marital state, ADL, and level of pain explained 48% of the HRQoL. Conclusion: Findings of this study allow a comprehensive understanding of patients with traumatic hand injury. It is necessary to develop nursing intervention program for improving the health-related quality of life in patients with traumatic hand injury by considering psychological care for depression as well as physical care.