• Title/Summary/Keyword: Case history

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A Case Report of a Stroke Patient with Dysarthria Treated with Korean Medicine

  • Baek, Ji Young;Park, Yeo Bin;Song, Ho-Joon;Baek, Ji Won;Kong, Won Ho;Kim, Shin-Young;Ahn, Chang-beom
    • Journal of Acupuncture Research
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    • v.35 no.3
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    • pp.138-140
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    • 2018
  • This case study examined the effect of Korean Medicine on a 72-year old male with a habitual history of smoking and drinking, and a family history of hypertension who had suffered an acute stroke. A couple of months later he complained of upper extremity weakness and was diagnosed with dysarthria. The patient received Korean Medicine treatment of acupuncture and herbal medicine for 39 days at the Samse Oriental Hospital, in conjunction with physiotherapy and Western medicine. Articulation accuracy, vowel accuracy, alternation and speed of reading sentences were evaluated every 7days. The results showed that the patient had improvement of articulation (10%) and vowel (37%) accuracy, alternation (12%) and speed of reading sentences (28%) suggesting that Korean Medicine treatment contributed to this progress.

A Study on the North and South Square-Platform at the Lecture Hall Sites of Goryeo Buddhist Temples (고려사원 강당지 남북 방형단에 관한 연구)

  • Hyun, Seung-Wook
    • Journal of architectural history
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    • v.26 no.2
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    • pp.67-74
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    • 2017
  • A very unique case is found in the architectural remains related to the north and south square-platform at the lecture hall site of Hwangnyongsa, that of Anyangsa, and the estimated lecture hall site of Beopsusa as they are not observed in the other lecture halls. The platform has been discovered at only those three Buddhist temples from Goryeo, and its case has not been found in ancient Buddhist temples of China and Japan. This study thus set out to investigate the north and south square-platform at lecture hall sites by examining in details its architectural remains at the three Buddhist temples and reviewing the Buddhist literature about the lecture halls of ancient Buddhist temples. Based on the findings, it was estimated that the architectural remains of north and south square-platform at the lecture hall sites of Buddhist temples were those of platform for Buddhist sermons or those of high chair platform. While the north square-platform involved the remains of north high chair for the Lecturer that gave lectures on the Buddhist scriptures, the south one did those of south high chair for the Reader who recited the Buddhist scriptures.

Temperature History of Concrete Corresponding to Various Bubble Sheets Layer and Curing Temperature (양생온도 변화 및 버블시트 두께변화에 따른 콘크리트의 온도이력특성)

  • Hong, Seak-Min;Baek, Dae-Hyun;Han, Min-Cheol;Han, Cheon-Goo
    • Proceedings of the Korean Institute of Building Construction Conference
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    • 2008.11a
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    • pp.21-25
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    • 2008
  • In this paper, the temperature history and the strength development of concrete corresponded to various bubble sheets layer and curing temperature. Based on the results, In case of the test temperature of -5℃, concrete subject in the exposure condition, result in a frost damage at initial stage by a fall of below zero temperature. In case of the combination of PE film and non woven fabric was after 36 hour, and combination of bubble sheet over double, a tremendous insulating effect of bubble sheet over double is confirmed due to the temperature of concrete fall of below zero temperature after 60 hours. Meanwhile, regarding the -15℃ of temperature, special measure for insulation curing is necessary to secure stability against early frost damage because frost damage was not affected by the lapping thickness of bubble sheet subjected to severe cold weather condition.

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A Case Study on the Urban Image through Color (색채를 통해 나타나는 도시이미지 사례 연구)

  • Lee, Jin-Young;Kim, Young-Joo
    • Proceeding of Spring/Autumn Annual Conference of KHA
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    • 2009.04a
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    • pp.321-326
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    • 2009
  • For building an urban image, various elements such as symbolic building, ethnic characteristics, historical background, natural environment, and diverse cultural elements can influence on it. Many cities in developed countries are showing their unique urban image reflecting their own culture, history, and aesthetic tastes. Especially color, one of the major design elements, has greater impact than other visual factors to form an urban characteristic. Despite the long history and cultural background, Seoul as a capital city of Korea does not show an unique city image with the perspective of color. Recently, Seoul has been designated as '2010 World Design Capital' and implements various urban design projects. As a leading city of design, Seoul is trying to make its urban identity through the own symbolic environment color. The purpose of this study is to find an environmental color scheme for developing a desirable urban design through several cases of foreign countries. For the purpose, Paris, London, Amsterdam, and Tokyo were selected as case cities. Each of the cities showed their own cultural characteristics and made their unique urban image by appropriate usage of their natural environment, symbolic building, emblem of country, and so on. We need to consider these successful cases to build up the image of Seoul.

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Natural History of the Calcaneal Avulsion Fracture in Neuropathic Arthropathy in a Young Diabetic Patient (A Case Report) (젊은 당뇨 환자에서 신경병성 관절병증 종골 견열 골절의 자연 경과(1예보고))

  • Ko, Young-Chul;Eun, Il-Soo;Jung, Chul-Young;Kim, Jin-Wan;Choi, Hyeon-Soo;Kim, Ok-Gul
    • Journal of Korean Foot and Ankle Society
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    • v.12 no.2
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    • pp.230-233
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    • 2008
  • The avulsion fracture of the calcaneal tuberosity is rare injury. Usually, it occurs from indirect trauma in old patients with osteoporosis or in patients with diabetic neuropathy. Especially, the bone and joint damage occurred in active patient with severe sensory loss or arthropathy related to nerve damage regardless of the cause is referred to neuropathic arthropathy. Generally, a patient with nondisplacement or minimally displacement is treated by conservative therapy and a patient with severe displacement is treated by open reduction and internal fixation. We experienced a 33 years-old woman with diabetes mellitus who had the displaced avulsion fracture of the calcaneal tuberosity without significant trauma and did not treat. We report upon this case at the 2 years follow-up.

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Hormone Replacement Therapy and Risk of Breast Cancer in Korean Women: A Quantitative Systematic Review

  • Bae, Jong-Myon;Kim, Eun Hee
    • Journal of Preventive Medicine and Public Health
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    • v.48 no.5
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    • pp.225-230
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    • 2015
  • Objectives: The epidemiological characteristics of breast cancer incidence by age group in Korean women are unique. This systematic review aimed to investigate the association between hormone replacement therapy (HRT) and breast cancer risk in Korean women. Methods: We searched electronic databases such as KoreaMed, KMbase, KISS, and RISS4U as well as PubMed for publications on Korean breast cancer patients. We also conducted manual searching based on references and citations in potential papers. All of the analytically epidemiologic studies that obtained individual data on HRT exposure and breast cancer occurrence in Korean women were selected. We restricted the inclusion of case-control studies to those that included age-matched controls. Estimates of summary odds ratio (SOR) with 95% confidence intervals (CIs) were calculated using random effect models. Results: One cohort and five case-control studies were finally selected. Based on the heterogeneity that existed among the six studies (I-squared=70.2%), a random effect model was applied. The summary effect size of HRT history from the six articles indicated no statistical significance in breast cancer risk (SOR, 0.983; 95% CI, 0.620 to 1.556). Conclusions: These facts support no significant effect of HRT history in the risk of breast cancer in Korean women. It is necessary to conduct a pooled analysis.

Effects of Huanglianjiedu-tang Granules for Transient Elevated Blood Pressure: A Case Series (일시적 혈압상승에 대한 황련해독탕 과립제의 효과 : 증례 보고)

  • Jeong, Sin-yeong;Jo, Hee-geun;Kim, Eun-mi;Jeong, Jun-su;Im, Hyeok-bin
    • The Journal of Internal Korean Medicine
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    • v.40 no.6
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    • pp.1288-1293
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    • 2019
  • Objective: This study reports the effects of Huanglianjiedu-tang (黃連解毒湯) granules as a treatment for transient hypertension. Methods: Four patients experienced sudden blood pressure elevation without a history of hypertension treatment. There was no specific history of disease, as confirmed by laboratory examination and image diagnosis. The patients were treated with Huanglianjiedu-tang (黃連解毒湯) granules and their blood pressure analyzed over time. Results: After treatment with Huanglianjiedu-tang granules, the mean systolic blood pressure (SBP) and diastolic blood pressure (DBP) of all patients decreased significantly. Conclusions: The study suggests that Huanglianjiedu-tang (黃連解毒湯) granules could be a primary treatment for hypertension. A well-designed study should be conducted for further evaluation of the effectiveness of the treatment.

Optimal intensity measures for probabilistic seismic demand models of RC high-rise buildings

  • Pejovic, Jelena R.;Serdar, Nina N.;Pejovic, Radenko R.
    • Earthquakes and Structures
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    • v.13 no.3
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    • pp.221-230
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    • 2017
  • One of the important phases of probabilistic performance-based methodology is establishing appropriate probabilistic seismic demand models (PSDMs). These demand models relate ground motion intensity measures (IMs) to demand measures (DMs). The objective of this paper is selection of the optimal IMs in probabilistic seismic demand analysis (PSDA) of the RC high-rise buildings. In selection process features such as: efficiency, practically, proficiency and sufficiency are considered. RC high-rise buildings with core wall structural system are selected as a case study building class with the three characteristic heights: 20-storey, 30-storey and 40-storey. In order to determine the most optimal IMs, 720 nonlinear time-history analyses are conducted for 60 ground motion records with a wide range of magnitudes and distances to source, and for various soil types, thus taking into account uncertainties during ground motion selection. The non-linear 3D models of the case study buildings are constructed. A detailed regression analysis and statistical processing of results are performed and appropriate PSDMs for the RC high-rise building are derived. Analyzing a large number of results it are adopted conclusions on the optimality of individual ground motion IMs for the RC high-rise building.

Superior Vena Cava Syndrome Without Thrombosis Found in Behcet's Disease

  • Kim, Hyun-Soo;Kim, Hyung-Jun;Hur, Ki-Hwan;Kim, Kyung-Rok;Choi, Jae-Won;Kang, Dong-Woo
    • Journal of Yeungnam Medical Science
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    • v.29 no.1
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    • pp.38-41
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    • 2012
  • Behcet's disease is a rare multisystemic disorder whose main pathological defectis vasculitis, and superior vena cava (SVC) syndrome without thrombosis is a very rare manifestation of the disease. These authors encountered a case of SVC syndrome without thrombosis caused by Behcet's disease. A 33-year-old man visited the hospital for aggravated dyspnea without any related medical and familial history. He had a threeday history of abrupt swelling of the face, neck, and right arm. He suffered from recurrent oral ulcer, and there were acneiform nodules on his face as well as redness and swelling at the site of the intravenous injection. On the multi-detected computed tomography (CT) chest angiograms (chest angio MDCT), the SVC narrowed without thrombosis. Venogram was carried out, and percutaneous transluminal balloon angioplasty of the SVC stenotic site was performed. The following day, the swelling was found to have subsided. The details of the case are reported herein.

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Manual Therapy for Patient with Spasmodic Torticollis - Case Study (연축성 사경환자에 대한 도수 치료적 접근 - 사례연구)

  • Kim, Dong-Ya;Shin, Eui-Ju;Jeon, Jae-Guk
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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    • v.19 no.1
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    • pp.79-83
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    • 2013
  • Background: Spasmodic torticollis is a disorder that is described by sustained muscle contractions causing repetitive and twisting movements, and abnormal postures in a single body region. The purpose of this case is to describe the manual therapy for a patient with spasmodic torticollis. Methods: The patient was a 64 years old man with an 3 month history of left side laterocollis spasmodic torticollis. No known genetic history or trauma. Prior to intervention, his score on the Western Spasmodic Torticollis Rating Scale (TWSTRS) severity score was 24, disability score was 20, pain score was 11. There is a noticeable distinction between left and right side cervical range of motion. The intervention consisted of manual therapy (MET, PNF) 3 times per week for the treatment during 4 weeks. Results: After intervention for 4weeks, his TWSTRS score and range of motion was improved quite a bit before therapeutic exercise. But symptoms are not improving sufficiently fast. Conclusions: Manual therapy is that MET and PNF is effective in improving for patient had spasmodic torticollis with laterocollis of neck.

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