• 제목/요약/키워드: Convalescent

검색결과 139건 처리시간 0.019초

배편이 중풍 환자의 혈압에 미치는 영향 (The Effect of Defecation on Blood Pressure in Stroke Patients)

  • 이태호;신정애;이영구;윤희식
    • 대한한의학회지
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    • 제24권1호
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    • pp.181-189
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    • 2003
  • Background : Patient, family, society and country are badly damaged by stroke (CVA : cerebrovascular accident). To reduce sequelae and return rapidly to society, treatment in the acute stage is very important. In many studies on purgation therapy (下法) used in acute stages of stroke, the changes of blood pressure, pulse and so on before and after purgation therapy were reported. However, the changes in the human body according to the day elapsed after defecation were not reported, so study was needed to confirm such changes. Methods : Seventy-six patients were studied. We observed forty-three patients at acute stroke and thirty-three patients at convalescent stroke. To confirm the importance of regular defecation in stroke patients, we analyzed blood pressure according to the day elapsed after defecation. Results : The following result were obtained. 1. In stroke group, compared with the day after defecation, the mean blood pressure of the third day after defecation increased. It increased the most in the acute stroke group. 2. Especially in stroke and acute stroke groups, compared with the second day after defecation, the mean systolic blood pressure of the third day after defecation increased significantly. 3. In the infarction group, compared with the day after defecation, the mean blood pressure of the third day after defecation increased. It increased the most in the acute infarction group. 4. Especially, in the infarction and acute infarction groups, compared with the second day after defecation, the mean systolic blood pressure of the third day after defecation increased significantly. Conclusion : In stroke patients, regular defecation is important, so we think that purgation therapy (下法) is needed in stroke patients over the third day elapsed after defecation. We think that the bowel movement control in acute stroke patients is more important than in convalescent stroke patients.

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COVID-19: an update on diagnostic and therapeutic approaches

  • Iyer, Mahalaxmi;Jayaramayya, Kaavya;Subramaniam, Mohana Devi;Lee, Soo Bin;Dayem, Ahmed Abdal;Cho, Ssang-Goo;Vellingiri, Balachandar
    • BMB Reports
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    • 제53권4호
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    • pp.191-205
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    • 2020
  • The unexpected pandemic set off by the novel coronavirus 2019 (COVID-19) has caused severe panic among people worldwide. COVID-19 has created havoc, and scientists and physicians are urged to test the efficiency and safety of drugs used to treat this disease. In such a pandemic situation, various steps have been taken by the government to control and prevent the Severe Acute Respiratory Syndrome coronavirus 2 (SARS-CoV-2). This pandemic situation has forced scientists to rework strategies to combat infectious diseases through drugs, treatment, and control measures. COVID-19 treatment requires both limiting viral multiplication and neutralizing tissue damage induced by an inappropriate immune reaction. Currently, various diagnostic kits to test for COVID-19 are available, and repurposing therapeutics for COVID-19 has shown to be clinically effective. As the global demand for diagnostics and therapeutics continues to rise, it is essential to rapidly develop various algorithms to successfully identify and contain the virus. This review discusses the updates on specimens/samples, recent efficient diagnostics, and therapeutic approaches to control the disease and repurposed drugs mainly focusing on chloroquine/hydroxychloroquine and convalescent plasma (CP). More research is required for further understanding of the influence of diagnostics and therapeutic approaches to develop vaccines and drugs for COVID-19.

경기도 물리치료사의 치매 국가책임제 인식도 조사연구 (Survey on the Gyeonggi-do Physical Therapists' in Awareness of National Responsibility for Dementia)

  • 염준우;김구식;이태한;박동민;나호성;김찬문
    • 대한통합의학회지
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    • 제8권2호
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    • pp.187-198
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    • 2020
  • Purpose : This study was conducted to provide basic data for the association's policy management and to improve the activity areas by investigating Gyeonggi-do physical therapists' recognition of the national responsibility for dementia. Methods : A total of 1,839 physical therapists participated in this survey, and the data from a total of 29 questionnaires were analyzed using SPSS 22.0 windows. Results : Among the physical therapists in Gyeonggi-do, 61.1 % had low awareness of the national responsibility for dementia, and the recognition of the center for dementia was also low. On the other hand, there was a remarkably high opinion that the physical therapist was a necessary workforce, and positive responses to dementia-related work and education participation were also high, 51.9 % and 68.5 %, respectively. Those with a high educational background, annual salary, clinical experience, or dementia-related institutions, such as nursing homes and physical therapy, had a high awareness of "dementia national responsibility", awareness of "center for dementia" and "participation in dementia-related work and education". On the other hand, "work participation" and "education participation" were found to be inversely related to age and clinical experience. Conclusion : Physical therapists based in Gyeonggi-do showed an awareness of dementia policy. This result will help the association's policy management and protect the physical therapist's rights and interests.

물리치료사의 업무관련성 근골격계 통증, 삶의 질과 프리젠티즘의 관계 (Associations between Work-Related Musculoskeletal Pain, Quality of Life and Presenteeism in Physical Therapists)

  • 배영현;이종훈;유현주;김동언;이보라;김연희;하현근
    • 한국산업보건학회지
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    • 제22권1호
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    • pp.61-72
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    • 2012
  • Background: The purpose of this study was to analyze the associations between physical therapists' work-related musculoskeletal pain, quality of life (QoL), and presenteeism. Methods: Self-reported questionnaires were given to 402 physical therapists in Korea. Variables examined included the prevalence of pain sites related to work, pain intensity, pain pattern, pain frequency, pain duration, pain rating score (PRS), general characteristics, QoL, and presenteeism. Results: Of the 314 physical therapists who responded, 251 (79.9%) reported work -related musculoskeletal pain in at least one body part. The most affected regions included the wrist and hand (21.0%), shoulder (19.6%), and lower back (19.1%). On average patients, QoL and presenteeism differed significantly between physical therapists who reported pain and those who did not (P < 0.05). QoL showed a negative correlation with the work-related musculoskeletal pain (P < 0.01) and presenteeism (P < 0.01), while the presenteeism and work-related musculoskeletal pain showed positive one(P < 0.01). Factors influencing a physical therapist's QoL included presenteeism, Working venues (Convalescent hospital), Work status (Contra ct worker) and professional experience, while the presenteeism included QoL, work status (Intern), PRS, working venues (Convalescent hospital), Area of specialty (Pediatrics), age, sex and working hour. Conclusions: Results show that physical therapists appear to be at a higher risk for work-related musculoskeletal pain. Therefore, administrators need to use the intervention strategies to manage the presenteeism and QoL of physical therapists.

공립요양병원 운영평가 평가지표 개발 방안 (Development of Quality Indicators for Public Convalescent Hospitals)

  • 서지우;손민성;최만규
    • 한국콘텐츠학회논문지
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    • 제21권5호
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    • pp.525-537
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    • 2021
  • 1990년대 후반부터 공립요양병원이 설립되었고, 2018년 기준, 79개소로 전체 요양병원의 5.1%를 차지하고 있다. 문재인 정부에서 치매 국가책임제를 발표하면서 공립요양병원을 치매안심병원으로 지정하여 중증치매환자에 대한 전문치료를 수행하는 기관으로 육성하고자 다양한 정책을 펼치고 있다. 이와 관련하여 2018년에 치매관리법을 개정하여 공립요양병원 운영평가를 위한 법적 근거가 마련되었으며, 2020년부터 본 평가가 시작되었다. 본 연구는 2020년도 공립요양병원 운영평가를 시행하기 위한 연구의 일환으로 공립요양병원을 치매환자의 전문치료기관 및 회복기 재활환자를 치료할 수 있는 역량 있는 기관으로 육성할 수 있도록 기능을 정립하였으며, 양질의 진료서비스, 공공성, 책무성 등 공공기관으로서의 행태를 평가할 수 있도록 평가체계를 개발하였다. 또한 개발된 평가지표가 적용가능한지 검증하기 위해 공립요양병원 79개소 중 20개소를 대상으로 시범 평가를 시행하였다. 본 평가의 결과를 바탕으로 교육 및 피드백이 진행되고 지속적으로 관리 할 수 있는 모니터링시스템을 구축함으로써 전체 요양병원의 기준(standard)으로서의 기능과 역할을 수행할 수 있을 것으로 기대한다.

돌발성 난청을 동반한 이명 환자 1례에 대한 증례보고 (A Clinical Case Study on the Tinnitus with Sudden Sensorineural Hearing Loss)

  • 김석주;이현
    • 혜화의학회지
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    • 제16권1호
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    • pp.1-7
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    • 2007
  • Tinnitus is noise from ear or head without any external sound stimulation and can cause hearing difficulties, psychologenic disturbances or many difficulties in everyday life. the etiology has yet been discussed and the management is also very difficult. Sensorineural hearing loss is defined as a sudden hearing impairment which was develope over a period of hours to days. I report one tinnitus case which accompanied with sudden sensorineural hearing loss. In the early and acute stage which judged as Dam-Wha, herbal treatment with Tong-myeong-ri-gi-tang was efficacious on the tinnitus. In the convalescent stage and judged as Sin-heo, herbal treatment with Ja-sin-tong-i-tang was efficacious on the tinnitus that accompanied with sudden sensorineural hearing loss.

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미나리가 마우스의 카드뮴 중독에 미치는 병리조직학적 관찰 (Histopathological Studies on Effect of Dropwort on Cadmium Poisoning in Mice)

  • 장종식
    • 한국임상수의학회지
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    • 제16권1호
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    • pp.13-18
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    • 1999
  • This study was undertaken to find out the effect of dropwort on histopathological changes of cadmium toxicity in mice. Thirty two mice of BALB/c strain were divided into a control group (A) and three experimental groups (B, C, D). Each group was consisted of four males and four females : group A received tap water and basal diet, group B received tap water and diet supplemented with 100 mg/kg of cadmium, group C received dropwort juice and diet supplemented with 100 mg/kg of cadmium, group D received dropwort juice and basal diet. All mice were dissected on the 35th day. Pathological changes in liver, kidney, spleen, heart, lung, stomach and muscle were observed. Group D showed no significant change as the control group. But group B showed many cytoplasmic vacuoles and necrosis of hepatocytes, glomerular swelling, and degeneration and necrosis of convoluted tubules in kidney, marked congestion and hemorrhage, and a large number of variably sized alveolar macrophages appearance in lung and swelling in some part of muscle fiber. On the other hand, group C showed a little convalescent changes and maintained their normal architectures in liver, kidney, lung and muscle.

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강원도지방 한우의 지방병에 관한 조사연구 - 1. 피부의 위축성 변화에 관한 연구 (Studies on the Enzootic Diseases of Korean Cattle in Gangwon-do - Province 1. A study on the Atrophic Change of the Skin)

  • 최희인;이창우;박응복;정창국;성재기;한홍율
    • 대한수의사회지
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    • 제18권2호
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    • pp.43-60
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    • 1982
  • As a preliminary survey to understand the possible causes of atrophic skin change of Korean cattle clininical, hematological, blood chemical and histo pathological examinations were done during prevalent period and convalescent period of the disease on ra

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산재재활전문병원 재활센터의 규모 및 공간구성에 관한 연구 (A Study on the Area Calculation and Spatial Composition of Medical Rehabilitation Center in the Workplace Accident Rehabilitation Hospitals)

  • 이특구;최광석
    • 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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    • 제14권2호
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    • pp.3-14
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    • 2008
  • The rehabilitation for the workplace accident victims is basically aimed to get them back to their working place through the secondary care processes which have some more special and more professional rehabilitation than any others, after the primary treatments like operation in an acute hospital since the accident. They need more concentrative rehabilitation efforts according to classified injury types during the period of acute, sub-acute and convalescent. This study is for the partial research of rehabilitation hospital for workers' accident victims and presents design data which can be used for the appropriate area calculation and spatial composition. Drawing documents analysis, interviews, observation were used to examine the condition of existing rehabilitation hospitals.

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쭈쭈가무시병(Tsutsugamushi disease)으로 진단된 환자를 승마갈근탕가미방, 조중익기탕 및 Doxycycline으로 치료한 치험 2예 (Two Cases of Tsutsugamushi Disease Which Were Treated Sengmagalgentang-gamibang, Chojungikitang and Doxycycline)

  • 양미라;최진영;김동웅
    • 대한한의학회지
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    • 제21권4호
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    • pp.292-299
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    • 2000
  • We experienced two cases of Tsutsugamushi disease which occurred in October, 2000. The patients, who were over 70 years old and living in a rural area, visited Wonkwang University Oriental Chonju Medicine Hospital because of suffering fever, chill, skin rash, abdominal discomfort, and general weakness for a duration of seven days. The diagnosis was confmned as Tsutsugamushi disease by clinical findings such as eschar and high antibody titers on Reverse Passive Hemagglutination(RPHA). As for treatment, we used Sengmagalgentang-gamibang during the acute and Chojungikitang during convalescent phases of the illness. The patients were treated with Doxycycline of western medicine. The patients improved within 3 days of admission and were discharged within one week.

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