• Title/Summary/Keyword: Cerebrovascular Accident

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Surgical Resection of the Extracranial Internal Carotid Arterial Aneurysm -Report of two cases- (두개외 내경동맥 동맥류의 외과적 절제 -치 험 2례-)

  • Lee, Mun-Hwan;Park, Ju-Cheol;Yu, Se-Yeong
    • Journal of Chest Surgery
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    • v.29 no.1
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    • pp.103-106
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    • 1996
  • Aneurysms of the extracranial carotid arteries are relativeley rare in comparison with the total arterial system, but can cause death or a cerebrovascular accident. The treatment of choice is resection of the aneurysm and restoration of arterial continuity. This report describes two cases of extracranial internal carotid arterial aneurysm, which were saccular type. In both cases, the operations were performed under general anesthesia without shunt. The patients were recovered without any neurological sequelae.

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An experimental study of HwaYul(火熱) theory on the "SoMunHyunKiWonByungSik(素問玄機原病式)" ("소문현기원병식(素問玄機原病式)"에 기재된 중풍(中風)의 화열(火熱) 병인론(病因論)에 대한 저체온요법을 통한 실험적 고찰)

  • Choi, Seong-Hun
    • Journal of Korean Medical classics
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    • v.20 no.2
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    • pp.53-59
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    • 2007
  • In Oriental medicine, different suggestions regarding how cerebrovascular accident(CVA) may develop have been offered by several physicians. In Jin(金)Yuan(元) dynasty, Liu Wan Su(劉完素) asserted that CVA was not developed by external PungSa(風邪) but internal HwaYul, which was noted in the "SoMunHyunKiWonByungSik". To verify experimentally Liu's HwaYul theory in rats, normothermic control group (37$^{circ}C$) and hypothermic test group (32$^{circ}C$) were subjected to transient middle cerebral artery occlusion(MCAO) of 1hour. In 7days after MCAO, the rats were sacrified and the volume of infarct and the size of edema were measured. The present findings expand our understanding of the pathophysiology as to the CVA which is related to the HwaYul theory.

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The Effects of Meridian Acupressure on Decreasing Constipation for Stroke Patients (경혈지압이 뇌졸중 환자의 변비완화에 미치는 효과)

  • Lee, Gab Nyea;Shon, Kyung Hee
    • Korean Journal of Adult Nursing
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    • v.18 no.5
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    • pp.760-770
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    • 2006
  • Purpose: This study was aimed at identifying the effect of meridian acupressure on decreasing the severity of constipation in stroke patients admitted to the intensive care unit. Method: The data was collected from June 1 to July 30, 2005 at D Hospital in Busan. They were divided into two group: one experimental group of 18, and the another control group of 17. Meridian acupressure was given to the experimental group and no meridian acupressure was given to the control group. The data was analyzed using the t-test, ${\chi}^2-test$, Fisher exact, and repeated measures ANCOVA. Results: There was a significant improvement in frequency of defecation and severity of constipation in the experimental group compared to the control group. Conclusion: Meridian acupressure can be considered an effective nursing method for the management of constipation among Cerebrovascular Accident patients.

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Physiological Review of Weakness in Patients with Hemiparesis (편부전마비 환자에서의 근육약화에 대한 생리학적 고찰)

  • Kim, Jong-Man;Kim, Tack-Hoon
    • Physical Therapy Korea
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    • v.3 no.2
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    • pp.84-94
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    • 1996
  • This paper reviews physiological changes in the nervous system of patients with hemiparesis that may contribute to muscle weakness. The discussion includes the important role that alterations in the physiology of motor units, notably changes in firing rates and muscle fiber atrophy, play in the manifestation of muscle weakeness. This role is compared with the lesser role that spasticity of the antagonist muscle group appears to play in determining the weakness of agonist muscles. The contribution of other factors that result in mechanical restraint of the agonist by the antagonist is discussed relative to muscle weakness in patients with hemiparesis. More studies on patients with hemiparesis are required to assess what role muscle strength training should play in rehabiliting patients after a stroke.

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An Analysis of Cause of Death from the Reported Death Certificates in Korea (사망신고자료(死亡申告資料)에 의한 사인분석(死因分析))

  • Lee, Dong-Woo
    • Journal of Preventive Medicine and Public Health
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    • v.14 no.1
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    • pp.39-42
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    • 1981
  • Recent changes in the cause of death among the Korean population seem to be systematic and significant. Data on cause of death from the medically certified death certificates provide at least four types of evidence: a sudden increase in recent years in the numbers of death due to cerebrovascular disease or circulatory diseases including rheumatic fever and chronic heart diseases and atherosclerosis; increasing steadily in the numbers of death due to malignant neoplasm of various sites, and death due to accident; decreasing steadily in the numbers of death due to communicable diseases or parasite diseases; and a large number of deaths with unspecified symptoms and ill-defined conditions. The lack of complete registration of the deads occurred or the incomplete description on the cause of death reported suggests that statistical information of cause of death from the medically certified death records is meaningful in interpreting changing patterns.

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Studies on the Efficacy of Combined Preparation of Crude Drugs(XXXV) -Effect of Woohwangchungsim-Won on the Cardiovascular System- (생약복합제제(生藥複合製劑)의 약효연구(藥效硏究)(제35보)(第35報) -우황청심원(牛黃淸心元)이 순환기계(循環器系)에 미치는 영향(影響)-)

  • Hong, Nam-Doo;Kim, Nam-Jae;Kim, Kyu-Sup
    • Korean Journal of Pharmacognosy
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    • v.18 no.4
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    • pp.241-248
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    • 1987
  • Woohwangchungsim-Won has been widely used for the treatment of appoplexy, hypertension, arteriosclerosis, insomnia and cerebrovascular accident, etc in oriental hospital and pharmacy. In order to investigate the efficacy of Woohwangchungsim-Won, the water extract of it were bioassayed for isolated ileum, blood vessels, blood pressure, heart and diuresis. The results of this studies were as follows; Spontaneous motilities of isolated ileum of mice were strongly suppressed, and contraction of isolated ileum of mice and guinea-pigs induced by acetylcholine chloride, barium chloride and histamine were inhibited. Vaso-dilating action due to vascular smooth muscle relaxation in frogs and rabbits, and hypotensive action in anesthetized rabbits were noted. Negative inotropic action on the isolated frog heart and diuretic effect in rabbits were shown.

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Efficacy of a Hierarchical Treatment of Aphasic Perseveration (TAP) Program: A Case Study

  • Jeong, Ok-Ran;Lee, Sang-Heun;Cho, Tae-Hwan;Sohn, Jin-Ho;Yeh, Mi-Kyung
    • Speech Sciences
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    • v.8 no.1
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    • pp.115-122
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    • 2001
  • This paper explored the effectiveness of a hierarchical Treatment of Aphasic Perseveration (TAP) program on an aphasic in two regards: decrease in the frequency of perseveration and improvement in naming ability. The subject was a 54-year-old female with Transcortical Sensory (TCS) aphasia following a left ischemic Cerebrovascular Accident (CVA). It was concluded that the hierarchical TAP program was more effective and efficient in terms of decreasing perseveration and increasing correct naming performance. Within the data of the hierarchical TAP program, however, a substantial decrease in the frequency of occurrence of perseverative behaviors did not necessarily result in proportionate improvement of naming ability. The probable causes and reasons were discussed.

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A Case of paralytic ileus and Urinary Tract Infection with cerebral infarction (뇌경색환자에게 병발한 마비성 장폐색과 요로감염의 치험례)

  • Park, Ji-Yoon;Jun, Chan-Yong;Han, Yang-Hee;Ko, Jae-Chul
    • The Journal of Internal Korean Medicine
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    • v.22 no.3
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    • pp.471-476
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    • 2001
  • paralytic ileus and urinary tract infection(UTI) are common complications in stroke patient. A 78-year-old women was admitted because of right hemiparesis, motor aphasia due to 2nd cerebrovascular accident this patient had problem of paralytic ileus and UTI. without Western medical treatment, patient's symptom, sign and laborotory findings were improved through Korean medical treatment. so, we report it for the better treatment.

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Acute Spontaneous Spinal Subdural Hematoma with Vague Symptoms

  • Chung, Jaehwan;Park, In Sung;Hwang, Soo-Hyun;Han, Jong-Woo
    • Journal of Korean Neurosurgical Society
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    • v.56 no.3
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    • pp.269-271
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    • 2014
  • Spinal subdural hematoma is a rarely reported disease and spontaneous spinal subdural hematomas (SSDH) without underlying pathological changes are even rarer. The patients usually show typical symtoms such as back pain, quadriplegia, paraplegia or sensory change. But rarely, patients may show atypical symptoms such as hemiparesis and misdiagnosed to cerebrovascular accident. We recently experienced a case of SSDH, where the patient initially showed vague symptoms, such as the sudden onset of headache which we initially misdiagnosed as subarachnoid hemorrhage. In this case, the headache of patient improved but the neck pain persisted until hospital day 5. Therefre, we conducted the MRI of cervical spine and finally confirmed SSDH. The patient was managed conservatively and improved without recurrence. In this case report, we discuss the clinical features of SSDH with emphasis on the importance of an early diagnosis.

Exploring the Triangular Relationship: Occupational Diseases, Work-Related Illness, and Accidents in the Construction Sector

  • Yi, Kyoo-Jin
    • Journal of the Korea Institute of Building Construction
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    • v.23 no.6
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    • pp.875-885
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    • 2023
  • This research delves into the evolving interplay between occupational diseases, work-related illnesses, and accidents in the construction industry, focusing on the past twenty years. One significant discovery is the 19-fold escalation in reported occupational diseases, prompting an examination of their root causes and connections to workplace environments. Frequently encountered work-related ailments include physically strenuous tasks, low back pain, and cerebrovascular issues, highlighting the need for robust prevention and management approaches. Predominantly, noise-induced hearing loss and pneumoconiosis are the most common occupational diseases. The study unveils notable correlations between specific work-related illnesses and accidents, indicating the necessity for bespoke safety measures. Additionally, a pronounced association between work-related illnesses and occupational diseases offers insights into underlying risk factors. Remarkably, the findings propose a bidirectional link between occupational diseases and accidents, challenging traditional beliefs about causality. These insights are pivotal for enhancing safety protocols, focusing on preventive measures, and foreseeing occupational diseases that may arise following accidents in the construction industry.