• Title/Summary/Keyword: Chronicity

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'Y'Oriental Medical Clinic Interior Design ('Y'한의원 인테리어 디자인)

  • Park, Sung-Won
    • Proceedings of the Korean Institute of Interior Design Conference
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    • 2005.10a
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    • pp.223-226
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    • 2005
  • The latest trend of our medical industry seems to have a raise on more expectation and interest in mystical therapeutics of herb medicine and its efficiency especially for the disease such as chronicity and other obstinacy that used to be impossibie to be cured with only Western medical treatment. potentiality of ideal medical treatment through interchanging of medical study between Eastern and Western is becoming an issue today. Herb medicine is our native ethnic medicine and is based on the friendly-nature and human oriented under one of the classification of natural medicine. The point of this medicine has a strong connection with the conceptional trait of Health-Care that is been newly paid a lot of attention in Western medical science. This 'Y'Oriental Medical Clinic Interior Design is to grant a new possibility of global recognition of herb medicine getting over from a limited ethnic medicine by correcting the existing problems and expanding its scope to a part of natural medicine and to newly establish its meaning as a space for Health-Care utilizing a concept of nature.

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Current Updates in Treatment of Osteochondral Lesions of the Talus (거골 골연골 병변 치료에 대한 최신 지견)

  • Park, Young Hwan;Kim, Jae Young;Kim, Hak Jun
    • Journal of Korean Foot and Ankle Society
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    • v.23 no.2
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    • pp.43-51
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    • 2019
  • Despite the increasing number of osteochondral lesions of the talus, there are a lack of definite evidence-based treatment protocols. Several types of treatments are available, each having their advantages and disadvantages. First-line therapy consists of well-conducted conservative treatment. Surgical treatment is the second choice. Treatments are chosen based on the size of the lesion, location, chronicity, and the condition of the neighboring cartilage. This article reviews the current updates in the treatment of osteochondral lesions of the talus to help clinicians use the available treatment strategies more efficiently.

Corticosteroid Resistant Asthma

  • Lane, Stephen J.;Lee, Tak-H.
    • Tuberculosis and Respiratory Diseases
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    • v.42 no.6
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    • pp.801-812
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    • 1995
  • CR asthma is associated with disease chronicity, a positive family history of asthma and in vitro and in vivo defects in mononuclear cell function. The HPA axis in CR asthmatics is suppressed normally by dexamethasone and the pharmacokinetic profile of an oral dose of prednisolone is similar to that found in CS subjects. In addition, competitive binding studies have shown that the ligand binding and nuclear translocation functions of the GR are similar in the two groups. Studies using gel retardation assay have indicated a defect in DNA binding in CR subjects. Chemical mutational analysis of the GR has shown that is not due to a defect in its structure at the cDNA level. Scatchard analysis of the GR/DNA and GR/ligand interactions suggests that there may be transcriptional interference of the GR with other transcriptionally active molecules leading to defective gene transcription.

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A Study on Parenting Competency of Mothers with Mental Illness (여성정신장애인의 양육능력에 관한 연구)

  • Seo, Mi-Kyoung
    • Korean Journal of Social Welfare
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    • v.60 no.2
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    • pp.77-98
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    • 2008
  • For women living with mental illness, motherhood may be a normalizing life experiences and offers the opportunity to develop competencies in a major life roles. So, the main premise of this study that social contexts, social support of spouse and extended family, is very important for successful parenting of mothers with mental illness. Thus this study analyzes the impact of marital relationship and social support of networks on three dimensions of parenting competency(expression of love, encouragement of independence, rational discipline) when the socioeconomic(age, number of offsprings, subjective economic level) and disability variables(diagnosis, severity of symptoms, chronicity, frequencies of psychiatric admission) are controlled. This study conducted the survey with 145 mothers with schizophrenia and mood disorder. The major finding of the study are : i) Using step-wise multiple regression, marital relationship, social supports and economic level affect significantly on the expression of love. ii) Using step-wise multiple regression, the most powerful influenced factor on encouragement of independence is marital relationship. iii) Using step-wise multiple regression, diagnosis, severity of symptoms, chronicity and economic level affect significantly on the rational discipline. That is two dimensions of parenting competency, expression of love and encouragement of independence, can be explained well by social contexts variables(marital relationship, social support, economic level). But only rational discipline can be explain well by disability factors. In conclusion, this study recommends service providers to use family based comprehensive case management for the mothers with mental illness.

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A Study of Family Adaptation with Chronically III Patients (I) - Stroke Patients at an Oriental Medical Hospital - (만성질환자 가족의 질병 적응과정 연구(I) - 한방병원에 입원한 뇌졸중 환자를 중심으로 -)

  • Lee, Young-Ae
    • Journal of East-West Nursing Research
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    • v.3 no.1
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    • pp.96-103
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    • 1998
  • This study was conducted to identify the adaptation process of the families with chronically ill patients. A descriptive comparative research design was used to the subjects of forty families that have stroke patients at an oriental medical hospital. Research tools were Demands of Illness Inventory(Woods, Haberman & Packard, 1987), Relative and Friend Support Index(McCubbin, Patterson & Glynn, 1982), Family Coping-Coherence Index (McCubbin, Larsen & Olson, 1982), Family Hardiness Index(McCubbin, McCubbin & Thompson, 1986), and Family Member Wellbeing Scale(McCubbin, McCubbin & Thompson, 1986). Data were collected from October 7, 1998 to November 7, 1998 at an oriental medical hospital located in IkSan city. The number of cases was forty and the data were analyzed by SPSS $PC^+$. Descriptive statistics of frequency, number, mean and standard deviation were used to report the results. The results were as follows ; 1. There was no significant differences between the two groups on the family stress. 2. There was significant differences between the two groups on the family strength (t value = - 3.09, p value=$.004^{**}$). 3. There was significant differences between the two groups on the family adaptation(t value= -2.08, pvalue=$.05^*$).

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Alcohol and Liver disease (알코올과 간질환)

  • 박병채
    • Journal of Life Science
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    • v.5 no.3
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    • pp.145-150
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    • 1995
  • Alcoholic liver disease is defined by the development of three types of liver damage following chronic heavy alcohol consumption, namely, alcoholic fatty liver, alcoholic hepatitis, and alcoholic cirrhosis, The clinical features and laboratory tests often do not distinguish among these types of liver injuries. In addition, a considerable number of the patients who have clinical and laboratory features compatible with alcoholic liver disease are diagnosed on liver biopsy to have chronic viral hepatitis or other lesion. Because of these factors, liver biopsy is frequently needed to arrive a definite diagnosis of the disease, its activity, and its chronicity. Fatty liver is usually a benign and reverible condition that disappears on abstinence from alcohol. However, alcoholic hepatitis is usually regarded as a precursor of cirrhosis. The principle factors in the development of alcoholic hepatitis and cirrhosis are the quantity and length of ingestion of alcohol. women are much more susceptible than men to hepatic injuries. Since only 10 - 20% of alcoholics develop cirrhosis, however, it is conceivable that other factors, either genetic, environmental, or nutritional may contribute in the genesis of liver injuries. The most important factor in the treatment of alcoholic liver disease is prolonzed abstinence from alcohol, since abstinence by itself improves clinical status and survival, Nutritional support in patients with nutritional deficiency, and specific drug therapies such as corticosteroid or anabolic steroids for hospitaliged patients with severe alcoholic hepatitis also play an important role in devreasing morbidity and improving survival. Liver transplantation is a newer treatment modality in the patients with advanced cirrhosis, not responsible to medical treatment.

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General Anesthesia for Dental Treatment in the Congenital Hypothyroidism and Psuedohypoparathyroidism (선천성 갑상선기능저하증과 가성부갑상선기능저하증을 동반한 환자의 전신마취 하 치과치료)

  • Seo, Kwang-Suk;Shin, Teo-Jeon;Kim, Hyun-Jeong;Chang, Juhea
    • Journal of The Korean Dental Society of Anesthesiology
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    • v.13 no.3
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    • pp.139-143
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    • 2013
  • The patient who has congenital hypothyroidism and pseudohypoparathyroidism could have mental retardation even though adequate hormone treatment and cannot endure conventional dental treatment. In this case, general anesthesia is selected to administer effective dental treatment. But, there could be symptoms such as anemia, neuropathy, associated pituitary or adrenal hypofunction, cardiac failure even in euthyroid state. And, bradycardia, mental dullness, hypothermia, slow reflexes can appear in case of inadequate thyroid hormone replacement. Especially, macroglosssia, slow drug metabolism, exaggerated responses to anesthetic agents and decreased ventilatory responses could be problem during general anesthesia. The presentation of hypoparathyroidism also varies depending on the chronicity of the result of hypocalcemia. Muscle spasms/tetany, paresthesias, and seizures may occur in an acute onset. Chronic hypocalcaemia causes fatigue, muscle cramps, lethargy, personality changes, and cerebration defects.

Clinical Report of Chronic Relapsing Cystitis Treated with Oriental Medicine (만성 재발성 방광염에 대한 한의학적 변증 치료 1례)

  • Park, Song-Kee;Lee, Yeon-Kyeong;Shin, Hyeon-Cheol;Kang, Seok-Bong;Kwon, Eun-Hee
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.20 no.5
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    • pp.1346-1349
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    • 2006
  • Cystitis is a inflammation that forms at the cystic mucosa those main symptom is urinary disturbance based on the bladder stimulated. It is liable to be chronicity and difficult to give medical treatment. Especially, Chronic Relapsing Cystitis(CRC) is the continuing and repeating cystitis without abnormality of urinalysis. This study was peformed on a 46-year-old female patient with CRC who was diagnosed as Norim(勞淋) due to Bisinyangheo(脾腎陽虛) and Hansan(寒疝) due to Hanchekanmaek(寒滯肝脈). The patient was treated with mainly Cheongsanboki-tang(淸疝補氣湯). Clinical symptoms and general conditions are improved after treatment and more extensive researches are needed.

Treatment for ophthalmic paralysis: functional and aesthetic optimization

  • Kim, Min Ji;Oh, Tae Suk
    • Archives of Craniofacial Surgery
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    • v.20 no.1
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    • pp.3-9
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    • 2019
  • Facial nerve palsy has an effect on a person's well-being functionally and psychologically. Therefore, comprehensive patient management is essential. One of the most common uncomfortable and potentially debilitating features is associated with the incapacity for eye closure. Restoration of eye closure is a key consideration during the surgical management of facial palsy. In this article, we introduce simple surgical methods-which are relatively easy to learn and involve the upper and lower eyelids-for achieving eye closure. Correcting upper eyelid function involves facilitating the component of eye closure that is in the same direction as gravity and is, therefore, less complicated and favorable outcomes than correction of lower lid. Aesthetic aspects should be considered to correct the asymmetry caused by facial palsy. Lower eyelid function involves a force that opposes gravity for eye closure, which makes correction of lower eyelid ectropion more challenging than surgery for the upper eyelid, particularly in terms of effecting a sustained correction. Initially, proper ophthalmic evaluation is required, including identifying the chronicity and severity of ectropion. Also, it is important to determine whether or not lateral canthoplasty is necessary. The lateral tarsal strip procedure is commonly used for lower lid correction. However, effective lower lid correction can be achieved with better cosmesis when extensive supporting techniques are applied, including those involving cheek tissue.

Posttraumatic bilateral thigh Morel-Lavallée lesions without an underlying bone fracture in the United Kingdom: a case report

  • Sarah Razaq;James Geffner;Asma Khan;Harry Mee;Cynthia Udensi;Fahim Anwar
    • Journal of Trauma and Injury
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    • v.36 no.3
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    • pp.269-275
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    • 2023
  • A Morel-Lavallée lesion results from a degloving injury between the muscle fascia and the subcutaneous layer. It is most commonly found in the trochanteric area but can occur at other sites. The treatment of the condition varies according to the medical circumstances, as well as the size and chronicity of the condition. A case of large (18×6 and 10×5 cm) bilateral posttraumatic Morel-Lavallée lesions with no underlying bone fracture is presented; the case occurred in a 49-year-old male patient 4 weeks posttrauma. Ultrasound scans showed bilateral large collections of anechoic fluid, which were aspirated under ultrasound guidance and further managed by compression bandages. There were no further complications. The objective of this case report is to present this unique and educational case, as well as to provide an overview of the pathophysiology, diagnosis, and management of Morel-Lavallée lesions. We conclude by discussing the importance of having a high index of suspicion to ensure early detection and prompt treatment of such lesions to avoid complications.