• 보건행정학회지
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• 제23권4호
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• pp.427-433
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• 2013

Background: This study was conducted to evaluate the factors affecting adherence in patients with hypertension and type 2 diabetes mellitus before and after a clinic based patient incentive program in Incheon. Methods: An observational follow-up study was done for 28,355 patients in one registered group and 245,598 patients in a non-registered group from March 16th 2009 to December 31th 2010 in Incheon. The registration, mandatory laboratory tests and number of clinic visits were collected by merging the Incheon Chronic Disease Management System data and the National Health Insurance Corporation (NHIC) data. As a measure of patient adherence, we used a variable of prescription days from the NHIC and defined above 80% of average prescription days as an appropriate patient adherence. Repeated measures analysis of variance and logistic regression were used to analyze the differences in patient adherence and factors affecting adherence. Results: The changes in prescription days for the registered group are larger than for the non-registered group. In the logistic regression model, including the variables with sex, age, income status and number of clinic visits, the registered group exhibited a higher Odds ratio in the patient adherence. Conclusion: This study revealed the association between registration and appropriate patient adherence in patients with hypertension or type 2 diabetes mellitus.

• 대한통합의학회지
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• 제4권4호
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• pp.41-51
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• 2016

PURPOSE : The purpose of this study was to identify whether 3D motion input device based mirror therapy could improve on upper extremity function, quality of life and depression in chronic stroke patients METHOD : Thirty six patients with chronic stroke were enrolled and randomly divided into three groups: 3D leapmotion mirror therapy group, mirror therapy group, and sham therapy group. 3D leapmotion mirror therapy group performed 3D motion input device based mirror therapy, mirror therapy group performed general mirror therapy, control group performed sham therapy. All patients received a total of 15 exercise session over a 5 week period (three times per week). Fugl-Meyer Assessment-upper extremity(FMA-UE), Stroke Specific-Quality of Life(SS-QOL), Beck Depression Inventory(BDI) were performed prior to and five weeks after the treatment RESULT : Subjects in the 3D leapmotion mirror therapy group showed significant improvements in upper extremity function, quality of life and depression following training. The changes of upper extremity function, quality of life and depression in the 3D leapmotion mirror therapy group were significantly more than them of the control group. CONCLUSION : The result of this study suggest that 3D motion input device based mirror therapy is an intervention to improve on upper extremity function, quality of life and depression in chronic stroke patients.

• 한국임상수의학회지
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• 제27권4호
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• pp.378-381
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• 2010

The objectives in the present study were to evaluate the therapeutic effect of dioctahedral smectite (smectite) against piglet diarrhea caused by E. coli and Salmonella. Of this study, twenty piglets (body weight, $6.60{\pm}0.34\;kg$) with diarrhea were used to estimate the efficacy of smectite on piglet diarrhea with 20% smectite suspension in PBS. Pigs were administered with 1 ml smectite suspension three times a day after feeding, and fecal samples were collected at the gate of treatment and on 1st, 2nd, 3rd, and 4th day after administration. Changes in body weight, diarrhea index, and shedding of E. coli and Salmonella were monitored during the experimental period. The group treated with smectite reduced diarrhea index (p < 0.01), and increased body weight compared to control group. In the treated group, the number of E. coli and Salmonella was significantly decreased compared to each control group (p < 0.01). From results of the present study, 20% smectite suspension had therapeutic effect on diarrhea caused by E. coli and Salmonella in piglets.

• Journal of the Korean Association of Oral and Maxillofacial Surgeons
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• 제32권2호
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• pp.168-173
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• 2006

The side effects of head and neck radiation therapy include mucositis, xerostomia, loss of taste, radiation caries, oral infection, osteoradionecrosis and trismus. When a patient is arranged to begin head & neck radiotherapy, oral pathologic lesions are examined and managed for the prevention of oral complications. The advanced odontogenic infection should be especially controlled before the radiotherapy and the patient must be instructed for proper oral prophylaxis. Generally the more conservative treatments, such as, scaling, restoration, endodontic treatment, are the care of choice and dental extraction is performed in advanced periapical and periodontal pathologic conditions. If the dental extraction should be done, the radiotherapy consequently will be delayed until there is epithelium covering the extraction socket, leaving no exposed bone. The cancer patient with severe emotional stress pray for the early radiation therapy, in spite of possibility of the recurrent odontogenic infectious lesions. So, the authors attempted to do the early radiation therapy by the conservative endodontic drainage and surgical incision & drainage without extraction of the infected teeth, and resulted in relatively good prognosis without the severe side effects of head and neck radiotherapy.

• 한방재활의학과학회지
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• 제23권2호
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• pp.185-191
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• 2013

본 증례에서는 절식치료 중인 환자에 있어 글리세린 관장을 실시한 직후 발생한 허혈성 대장염 1례에 대해 고찰하여, 관장으로 인한 장관 내압 상승, 상온의 체온보다 낮은 관장액으로 인한 혈관 경련, 선택적 세로토닌 재흡수 억제제에 의한 출혈 경향 증가 및 글리세린 용액의 화학적 삼투작용으로 인한 점막 손상 가능성 등을 제시하였다. 관장으로 인한 이와 같은 부작용을 예방하기 위하여 임상의들의 주의가 요구된다.

• Tuberculosis and Respiratory Diseases
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• 제59권4호
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• pp.413-417
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• 2005

Amiodarone을 사용하는 환자에서 객혈이 발생하였을 경우 원인으로 amiodarone의 폐독성을 반드시 고려하여야 하며 즉시 투여를 중지하고 스테로이드를 사용하면 임상 증상을 호전시킬 수 있다. 저자들은 저용량의 amiodarone을 장기간 사용하던 환자에서 발생한 객혈을 약물 투여 중지 및 대증적 치료로 호전시킨 1예를 경험하여 문헌 고찰과 함께 보고하는 바이다.

• 한방안이비인후피부과학회지
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• 제25권3호
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• pp.113-128
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• 2012

Objectives : This study was performed to investigate the effect of Needle-Embedding Therapy in early stage of intractable peripheral facial paralysis. Methods : 46 patients with severe peripheral facial paralysis were treated with oriental medicine therapy including Needle-Embedding Therapy in their early stage. We evaluated the effect of Needle-Embedding Therapy by House-Brackmann Grading system, decrease of subjective symptoms and satisfaction measurement. Results : After treatment, HB-Scale grade was significantly decreased(p-value<0.001). More than 50% of subjective symptoms were disappeared in 82.61% of patients. 80.48% of the patients was satisfied with the Needle-Embedding Therapy. Conclusion : Needle-Embedding Therapy could be effective to improve symptoms of severe peripheral facial paralysis in early stage. Further studies will be required to identify the beneficial effect of Needle-Embedding Therapy in early stage of peripheral facial paralysis.

• Restorative Dentistry and Endodontics
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• 제36권2호
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• pp.114-118
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• 2011

연구목적: 본 연구는 치근단절제술과 역충전을 시행한 환자를 대상으로 치근단미세수술의 결과에 대한 환자의 인식과 만족도를 조사하는 것을 목적으로 하였다. 연구 재료 및 방법: 연세대학교 치과보존과에서 치근단 수술 후 최소 3개월 이후 정기검진을 위해 내원한 환자를 대상으로 설문조사를 시행하였다. 응답자의 나이/성별간 응답의 차이가 있는지는 contingency table을 이용해서 분석하였다 (p=0.05). 결과: 응답자의 60% 정도가 이전에 치근단 수술에 대해서 들어본 적이 없었으며 치근단 수술을 결정한 이유는 63.3%에서 자연치를 보존하기 위해서라고 응답하였다. 이후 비슷한 상황이 생긴다면 대부분의 환자가 다시 치근단수술을 선택할 것이라고 하였으며 수술의 만족도는 전반적으로 높은 편이었다. 결론: 치근단수술은 대부분의 환자에서 만족스러운 치료로 인식되고 있다.

• Journal of Chest Surgery
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• 제31권5호
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• pp.540-543
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• 1998

본 례는 65세 남자 환자에서 전폐절제술후에 발생한 기관지 늑막루 및 농흉의 치험례로 일차적으로 만성화하게한 다음 정중흉골절개하 심낭절개로 좌 주기관지를 노출후 자동봉합기(TA 4.8-30)로 좌 주기관지를 이중 결찰 봉합하여 좌측 늑막강내의 염증을 일으키는 원인인 기관지 늑막루를 차단한 다음, 늑막강내의 농흉을 치료함에 있어 흉강경을 이용하여 변형된 Clagett술식으로 내면을 깨끗하게 세척한 후 민감한 항생제를 이용하여 늑막강을 채우고 흉강삽관을 뽑고 그 부위를 봉합하는 방법을 시행하여 잔존 농흉강을 폐쇄하였다.

• Journal of Chest Surgery
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• 제35권6호
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• pp.483-486
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• 2002

71세 남자 환자로 좌측 총장골 동맥의 완전 폐쇄를 동반한 복부 대동맥류로 수술하였다. 술 전, 좌측 대퇴 및 장골 정맥에 동반된 만성 심부정맥 혈전증은 진단하지 못 하였다. 동맥류 절제술 및 우측은 외측 장골동맥에, 좌측은 대퇴동맥에 문합한 Y-graft 치환술과 대퇴동맥간 우회술을 시행하였으나, 술 후 반복적인 부종과 통증이 발생하였고 점차 악화되어 결국 광범위한 정맥 혈전증으로 사망하였다. 본례는 만성 심부정맥 혈전증을 동반한 폐쇄성 대동맥 장골 동맥 질환에 있어 수술적 치료 및 합병증에 관한 보고이다.