• Title/Summary/Keyword: Follow up medication

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Radiofrequency Thermocoagulation for Recurred Trigeminal Neuralgia -A case report- (고주파 열응고술을 이용한 재발한 삼차 신경통의 치료 경험 -증례 보고-)

  • Lim, Kyung-Joon;Lee, Jae-Chul;Kim, Seung-Soo
    • The Korean Journal of Pain
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    • v.14 no.2
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    • pp.261-265
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    • 2001
  • Radiofrequency thermocoagulation of the gasserian ganglion is a safe procedure that can be controlled well and provides satisfactory pain relief from trigeminal neuralgia with low risk. Here the authors report a case of radiofrequency thermocoagulation performed on a recurred trigeminal neuralgia patient, with particular attention to the V3 area. The patient was treated with microvascular decompression 7 years previous, which lead to untolerable side effects from carbamazepine medication. Following the paresthesia and masseter muscle contracture test at 50 Hz-0.06 volt and 2 Hz-0.5 volt respectively, RF lesionings were performed for 60 sec at $60^{\circ}C$ and 70 sec at $70^{\circ}C$. One week after the procedure, the pain was reduced with a mild hypoesthesia in the V2 area. After 6 months, the pain recurred. Therefore, we performed the same procedure again. After 8-months of follow-up, there has been no pain or complications.

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Surgical Treatment of a Periapical Abscess with Suborbital Swelling in Two Dogs (2두의 소형견에서 안와부위종창을 병발한 치근단 농양의 외과적 치료)

  • Han, Hyun-Jung;Kim, Joong-Hyun;Kim, Jun-Yeung;Jeong, Soon-Wuk
    • Journal of Veterinary Clinics
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    • v.23 no.4
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    • pp.476-479
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    • 2006
  • A 9-year-old, female Yorkshire terrier and a 10-year-old, female Maltese were referred to the Veterinary Medical Teaching Hospital of Konkuk University. The dogs were presented with severe swelling and cutaneous sinus tract on the left suborbital lesion. Under general anesthesia, we performed physical, intraoral examinations and survey radiography, and diagnosed as periapical abscess in a left fourth premolar tooth. They were treated with tooth extraction, and the sinus tracts were drained with 0.05% chlorhexidine solution. After teeth extractions, medication applied by the result of antibiotic sensitivity test. During follow-up 10 months later, the left suborbital swelling had completely resolved.

Brain Metastasis from Dermatofibrosarcoma Protuberans

  • Kim, Wook-Ha;Park, Chul-Kee;Kim, Dong-Gyu;Jung, Hee-Won
    • Journal of Korean Neurosurgical Society
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    • v.39 no.2
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    • pp.148-151
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    • 2006
  • Dermatofibrosarcoma protuberans[DFSP] is an uncommon fibrohistiocytic tumor characterized by aggressive local invasion and consequent local recurrence rather than distant metastasis. We present a case of a 51-year-old male patient with a typical cutaneous DFSP, which showed local recurrences and distant metastasis to the central nervous system[CNS] and the lung after 15 years from the initial diagnosis. CNS metastatic lesions recurred in 5 months after surgical resection of the first CNS lesion. These metastatic tumors were treated by open surgery and gamma-knife radiosurgery. Despite continuous medication of oral chemotherapeutic agent, the patient died during 1-year follow-up period.

A Case Report on Psychosomatic Disorder Cause by Maladjustment of Interpersonal Relationship (대인관계 부적응으로 유발된 심신증 환자 치험 1례)

  • Kim, Nam-Yeol;Yoo, Jong-Ho;Kim, Geun-Woo;Bae, Jae-Ik
    • Journal of Oriental Neuropsychiatry
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    • v.23 no.4
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    • pp.215-228
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    • 2012
  • Objectives : This study aims to research the effect of oriental psychotherapy and treatments for reduction of Psychosomatic disorder symptoms caused by maladjustment of interpersonal relationship. Methods : We treat a patient with Oriental medical treatment (acupuncture, moxibustion, cupping and aroma therapy, oriental psychotherapy and Herb-medication) and follow up the changes of stress index for 3 times per 8 days. Results & Conclusions : After oriental psychotherapy and treatments, clinical symptoms of the patient were improved and the patient overcoming psychosomatic disorder can go back to the workplace. It is suggested that oriental psychotherapy and treatments are effective on psychosomatic disorder.

Surgical Resection of Tracheal Leiomyoma; A cas report (기관 평활근종의 수술적 절제;1례 보고)

  • 심재천
    • Journal of Chest Surgery
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    • v.26 no.12
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    • pp.965-968
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    • 1993
  • Primary benign tracheal tumors are exceedingly rare and leiomyoma has the least frequency among them. It is important to recognize early without misdiagnosis such as asthma because it is curable. A 41 year-old female was admitted for dyspnea and choking since November 1991. Under the impression of asthma, she received medication. Symptom was not improved and thus chest CT scan was performed. There was endotracheal tumor mass which was located just above the carina and arose from the right lateral tracheal wall with broad base. We successfully resected the tumor mass including trachea and the defected area of trachea was reconstructed with autologous graft using pericrdium & rib cartilage. During the follow up period, no complication was developed.

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A Clinical Report of the Patient Appealed Various Somatization Symptoms by Marital Conflict (부부갈등에 의해 다양한 신체화증상을 호소한 환자 치험 1례)

  • Ko, Jae-Sang;Kim, Se-Won;Lee, Dong-Hwa;Koo, Byung-Soo
    • Journal of Oriental Neuropsychiatry
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    • v.24 no.4
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    • pp.411-418
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    • 2013
  • This study researches the effect of oriental psychotherapy treatments for various somatization symptoms by marital conflict. We treat Acupuncture, Herb-medication and oriental psychotherapy, and follow up the result for 3 times. Through an understanding of marital, The symptoms of the patient decreased. Oriental psychotherapy treatments is effective for Somatoform Disorders by Marital Conflict.

Major Lessons from the MTA in Treatment of Attention-Deficit Hyperactivity Disorder (주의력결핍 과잉행동장애 치료에서 MTA의 주요 교훈)

  • Hwang, Jun-Won
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.21 no.1
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    • pp.3-10
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    • 2010
  • Objectives : The current review aimed to describe the major findings of the NIMH Collaborative Multisite Multimodal Treatment Study of Children with Attention-Deficit Hyperactivity Disorder (MTA) with regard to the treatment of children with attention-deficit hyperactivity disorder (ADHD). Methods : We performed a general review of the literature regarding the efficacy of the MTA's proposed treatments. Results : There is a large and still increasing body of evidence regarding the MTA's treatment outcomes. We present and discuss details of the findings at each follow-up point. Conclusion : Currently, findings regarding the MTA's treatments suggest children with combined-type ADHD exhibit significant impairment in adolescence, despite their initial symptom improvement. Further studies, using innovative treatment approaches and targeting specific areas of adolescent impairment, are needed in order to enhance ADHD treatment outcomes.

Two pediatric cases with hematuria, normal renal function and positive antineutrophil cytoplasmic antibodies

  • Ji Hyeon Lim;Ji Won Jung;Heoun Jeong Go;Joo Hoon Lee;Young Seo Park
    • Childhood Kidney Diseases
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    • v.26 no.2
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    • pp.86-90
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    • 2022
  • Antineutrophil cytoplasmic antibody (ANCA)-associated glomerulonephritis requires prompt diagnosis and treatment, since renal function at the time of diagnosis is significantly associated with renal outcomes. Here, we report two pediatric patients with ANCA-positive glomerulonephritis initially presenting with hematuria, mild proteinuria, and normal renal function. The first patient with a high myeloperoxidase-ANCA titer (>134 IU/mL) was diagnosed with rapidly progressive glomerulonephritis based on renal biopsy and treated with immunosuppressive therapy after 10 months of follow-up. The second patient with a low myeloperoxidase-ANCA titer (11 IU/mL) maintained normal kidney function without medication. Two cases showed different clinical course according to ANCA titer.

Patterns of Medical Care Utilization Behavior and Related Factors among Hypertensive Patients: Follow-up Study Using the 2003-2007 Korean Health Insurance Claims Data (고혈압 환자의 의료이용 행태 변화 및 관련 요인: 2003~2007년 건강보험청구자료를 활용한 추적연구)

  • Song, Hyun-Jong;Jang, Sun-Mee;Shin, Suk-Youn
    • Korean Journal of Health Education and Promotion
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    • v.29 no.2
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    • pp.1-12
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    • 2012
  • Objectives: Several practice guidelines recommended both medication and behavior modification to control hypertension. The objective of this study was to analyze ambulatory care utilization pattern and related factors. Methods: A retrospective cohort study was conducted among 45,267 new users who initiated treatment with hypertensive drugs in 2003. Korean National Health Insurance Claims Data was used to study the medical care utilization behavior and related factors after treatment initiation for up to four years. Taking prescription was considered as medical care utilization. Results: More than 20% of patients discontinued visiting physicians for prescription after initiating antihypertensive drug therapy. The average number of institutions visited by patients was about 1.3 annually. Clinic was the most frequently visited institution by patients. In GEE analysis, probability of continuous visit one institution after initiating antihypertensive drug treatment increased in patients who were women, old, have comorbidity, visited clinic or hospital mainly in previous year. Conclusions: Young hypertensive male patients who have no major comorbidity showed high possibility to discontinue medical service utilization. It is necessary to educate these targeted patients about importance of hypertension management in early stage after treatment initiation.

Total Ankylosis by Heterotopic Ossification in an Adolescent Anterior Trans-olecranon Fracture Dislocation: A Case Report

  • Kim, Beom-Soo;Song, Kwang-Soon;Bae, Ki-Cheor;Lee, Si-Wook;Um, Sang-Hyun;Cho, Chul-Hyun
    • Clinics in Shoulder and Elbow
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    • v.22 no.3
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    • pp.154-158
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    • 2019
  • The incidence of heterotopic ossification in adolescents appears to be lower than in adults. There exist very few reports of heterotopic ossification with total bony ankylosis in child or adolescent populations. We describe a case of total bony ankylosis of the elbow secondary to heterotopic ossification, in a 14-year-old female. Total ankylosis of the elbow at 45 degrees of flexion was noted 6 months postsurgery, and complete surgical excision of the heterotopic mass was performed. After an additional one-time dose of radiation therapy and nonsteroidal anti-inflammatory drug medication, full range of motion was obtained without any recurrence or other complications, up to the last follow-up of 30 months.