• 한국임상수의학회지
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• 제26권6호
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• pp.655-658
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• 2009

복부 팽만과 간헐적인 가벼운 좌측후지의 파행을 나타낸 11년령의 암컷 말티즈견이 내원하였다. 신체검사에서 복부 촉신 시 동통을 호소하였고 농성의 질 삼출물을 나타내었다. 혈액화학적 검사결과 독성변화를 동반한 심한 백혈구감소증, 질소혈증, 고인산혈증, 그리고 저나트륨혈증이 관찰되었다. 복부 방사선검사에서 소장을 앞쪽과 등쪽으로 변위시키는 연부조직음영의 관상구조를 가진 매스가 관찰되었고 복부 초음파검사에서 에코성의 물질이 함유된 종괴는 자궁음영으로 판단되어 자궁축농증으로 진단하였다. 후지의 방사선검사결과 양쪽 무릎에서 내측 슬개골탈구와 외측 종자뼈가 4-5 조각으로 분화된 다분화를 관찰하였다. 환자는 곧바로 난소자궁적출술을 받아 잘 회복되었으며 정상적인 혈액화학 수치를 보였다. 좌측 후지의 파행은 간헐적이고 매우 경미하였으므로 특별한 처치를 하지 않았다. 이후 지금까지 3개월동안 뚜렷한 후지파행은 관찰되지 않았다. 여러조각으로 갈라진 후지의 양측성 외측종자뼈는 선천적인 종자골 다분화로 여겨지며 파행과 직접적인 관련성은 없는 것으로 판단된다.

• 한국임상수의학회지
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• 제27권1호
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• pp.117-120
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• 2010

A 5-years-old 3.7 kg intact female Pomeranian dog was presented with the history of swelling and pain in the distal part of the right forelimb. The swollen lesion was firm as bony material on palpation. On radiographic examination, there was a well-marginated, radiolucent, and expansile bone lesion in the distal metaphysis of the right ulna. Because of very narrow zone of transition, well-defined margins and absence of any periosteal reactivity, benign bone cyst was strongly suspected. The lesion was removed by en bloc resection and packed the space with $Gelfoam^{(R)}$ and aneurysmal bone cyst was finally diagnosed according to histopathological examination. Normal gait was showed on postoperative day 9 and there have been no pain and complication for 1 year since then.

• 한국임상수의학회지
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• 제31권5호
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• pp.445-448
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• 2014

7년령 수컷 말라뮤트 견이 정기적인 치과진료를 목적으로 내원하였다. 신체검사 상에서 뒷다리의 운동 실조가 확인되었으며, 우측 뒷다리의 고유 자세반응이 미약하게 지연되었다. 감별진단을 위한 MRI 검사에서, 허리뼈 1번과 2번 사이 척수강에 경막외 낭종이 확인되었다. 낭종은 디스크 바로 등쪽에서 척수실질 배쪽을 등쪽으로 심하게 압박하고 있었으며, T1 저신호, T2 고신호 및 낭종 벽을 따라 조영증강이 확인되었다. 편측성 추궁절제술을 통해 낭종을 제거하였고, 조직검사 결과 낭종의 벽은 섬유소 및 섬유아세포가 혼재되어 있었으며 일부분에서 호염성 디스크 물질이 확인되어 디스크 낭종으로 진단하였다. 환자는 수술 후 신경증상은 정상적으로 회복하였으며, 6개월 후 신체검사에서 정상적인 보행 이 관찰되었다.

• 대한임상독성학회지
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• 제11권1호
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• pp.28-30
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• 2013

A 66-year-old male with chronic alcoholism presented with tremor, gait disturbance, memory impairment, insomnia, decreased appetite, and confusion. The patient had been taking lithium daily for treatment of bipolar disorder. Brain CT showed no specific abnormality, and serum lithium and ammonia levels were 3.63 mEq/L (therapeutic range, 0.6~1.2 mEq/L) and $85{\mu}g/dL$ (reference range: $19{\sim}54{\mu}g/dL$), respectively. Therefore, the initial differential diagnosis included chronic lithium intoxication, hepatic encephalopathy, Wernicke encephalopathy, or alcohol withdrawal syndrome. Even with the provision of adequate hydration, the patient's neurologic status did not show improvement, so that lactulose enema, thiamine replacement, and continuous venovenous hemodiafiltration (CVVHDF) were started on the third admission day. By the fifth admission day he had made a rapid neurologic recovery, and was discharged on the 20th admission day. Therefore, CVVHDF might be a treatment for patients with chronic lithium intoxication, because, even if serum lithium concentration is normal, lithium concentration in the brain may be different from that of the serum.

• 사상체질의학회지
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• 제21권2호
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• pp.144-152
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• 2009

1. Objective : This study aims to report symptomatic improvement of a Soyangin patient reporting general weakness, dizziness, gait disturbance, cold sensitivity, nocturnal sweating, and anorexia after treatment with Hyeongbangjihwang-tang. 2. Method : The patient's subjective and objective symptoms were observed daily, and the VAS scores for the main symptoms were recorded daily throughout the hospitalization period. 3. Result : The general condition of the patient improved by the end of the hospitalization period, where the VAS score dropped from VAS 10 to VAS 5 and the symptoms of dizziness, general weakness, cold sensitivity, and nocturnal sweating disappeared by day 4 of admission without recurrence. 4. Conclusion : Although the patient did not report diarrhea, one of the main Mangeum symptoms, the general symptoms improved with Hyeongbangjihwang-tang medication. This indicates that Hyeongbangjihwang-tang can be used to treat chief and subsidiary symptoms related to Mangeum symptomatic pattern when applied to the appropriate base and manifesting symptomology.

• 한국임상수의학회지
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• 제23권1호
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• pp.81-85
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• 2006

Complete ruptures of the Achilles tendon were repaired in two hunting dogs of a 3-year-old, 20 kg and a 4-year-old, 14 kg with non weight bearing lameness. Both dogs were injured by wild animals and the skin defect was showed on the caudal surface of the right limb. Surgical repair involved the attachment of the ruptured tendon with a three-loop pulley method, using nonabsorbable suture materials. After surgical procedure, a bivalved cast was applied and maintained for 6 weeks. Exercise was restricted for 2 weeks more before gradually returned to normal. Gait and standing posture of dogs were returned to normal during the follow-up of 10 weeks.

• 한국운동역학회지
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• 제16권1호
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• pp.11-17
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• 2006

The purpose of this study was to evaluate the smoothness of movement during various walking speeds. Based on the maximum smoothness theory (or the minimum jerk theory), we hypothesized that the walking speed at the maximum smoothness (or minimum normalized jerk) is the same as that at the minimum energy consumption. Eleven university students participated in treadmill walking experiment with 11 different walking speeds (1.11, 1.19, 1.25, 1.33, 1.56, 1.78, 1.9, 2, 211, 233, and 2.47m/sec). Normalized jerk at 15 markers and the center of mass was calculated. Results showed that there existed a quadratic relationship between the normalized jerk of the vertical direction at the center of mass and the walking speed As the walking speed increased, the normalized jerk of all directions at the heel decreased Our hypothesis that the previously published energetically optimal walking speed ($1.25\;{\sim}\;1.4m/s$) is the same as the minimum jerk speed (1.78m/s) did not agree with this result. The minimum normalized jerk at the center of mass occurred at the walking speed of 1.78m/s which was the preferred walking speed by subjects' questionaries. Further studies concerning the energetically optimal walking speed, preferred walking speed, and walk-run transition speed or run-walk transition speed are necessary based on actual energy consumption experiment and various multi-dimensional analysis.

• 한국운동역학회지
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• 제19권2호
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• pp.245-255
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• 2009

본 연구는 낙상을 경험한 여성노인 20명을 각각 10명씩 연령으로 집단을 구분하고 보행 시 하지관절의 협응 능력을 분석하여 운동과학적인 기초자료를 제시하고, 불안정적인 측면의 요소에 효과적으로 대처할 수 있도록 하기 위한 것이다. 이를 위해 보행 시 하지관절의 균형에 대한 기전과 차이를 동작분석과 근전도를 이용하여 비교 분석하여 다음과 같은 결론을 얻었다. 첫째, 보행 시 고관절의 움직임에서 연령증가로 인해 충분하지 못한 지지역할로 보행자세가 저하되어 안정적 이지 못한 패턴을 보였다. 둘째, 무릎관절의 움직임에서 좌우측의 보행패턴이 상이하게 이루어지는 경향을 나타내었다. 셋째, 발목관절의 움직임에서 연령증가와 함께 활보패턴이 비정상적인 경향을 나타내었다. 또한 보행 시 하지 주요근육의 활성정도에 대해 대퇴직근과 대퇴이두근은 무릎의 굴곡을 막기 위해 근수축 활성이 증가되어 전진하는 전기적 특성을 보였고, 전경골근과 내측비복근은 이동 시 높은 전기적 수요를 나타내어 저측굴곡의 비율을 줄여 보행하는 특성을 나타내었다.

• 한방안이비인후피부과학회지
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• 제33권4호
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• pp.133-144
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• 2020

Objectives : The purpose of this study is to report the effect of Korean medicine treatment on limitation of eye movement in Miller-Fisher Syndrome. Methods : A patient was treated with herbal medicines, acupuncture(including electropuncture, phamacopuncture), Moxibustion and cupping therapy. To evaluate the result of this treatment, we used photographs of eye movement, Scott and Kraft score of both eye, length of eyeball movement and visual analogue scale(VAS) for subjective symptoms. Results : After treatment, the limitation of eye movement and diplopia were remarkably improved. Also, other symptoms such as dizziness, gait disturbance, facial nerve disorder were disappeared. Conclusions : This study suggests that Korean medicine treatments are effective for patient with limitation of eye movement in Miller-Fisher Syndrome.

• 대한한의학방제학회지
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• 제24권3호
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• pp.153-161
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• 2016

Chronic alcoholic myopathy is one of the most common skeletal muscle disorders. It is characterized by a reduction in the entire skeletal musculature, skeletal muscle weakness, and difficulties in gait. Patients with alcoholic hepatitis and cirrhosis have severe muscle loss that contributes to worsening outcome. Although the myopathy selectively affects Type II (fast twitch, glycolytic, anaerobic) skeletal muscle fibers, total skeletal musculature is reduced. The severity of the muscle atrophy is proportional to the duration and amount of alcohol consumed and leads to decreased muscle strength. The mechanisms for the myopathy are generally unknown but it is not due to overt nutritional deficiency, nor due to either neuropathy or severe liver disease. Skeletal muscle mass and protein content are maintained by a balance between protein synthesis and breakdown and in vivo animal models studies have shown that ethanol inhibits skeletal muscle protein synthesis. Daekumeumja is a traditional Korean medicine that is widely employed to treat various alcohol-induced diseases. Muscle diseases are often related to liver diseases and conditions. The main objective of this study was to assess that Daekumeumja extract could have protective effect against alcoholic myopathy in a Sprague-Dawley rat model. Rats were orally given 25% ethanol (5ml/kg, body weight) for 8 weeks. After 30 minutes, rats were administrated with Daekumeumja extract. Controls were similarly administrated with the vehicle alone. The weights of gastrocnemius, soleus and plantaris muscles were assessed and the morphologic changes of gastrocnemius and plantaris muscles were also assessed by hematoxylin and eosin staining. In results, The muscles from ethanol treated rats displayed a significant reduction in muscle weight and average cross section area compared to Normal group. Daekumeumja extract treated group showed increased muscle weight and muscle fiber compared to the ethanol treated group. It was concluded that Daekumeumja extract showed ameliorating effects on chronic alcohol myopathy in skeletal muscle.