• 대한치과보철학회지
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• 제55권4호
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• pp.451-457
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• 2017

벨마비는 원인이 명확하지 않은 급성 말초성 안면 신경마비로 주로 편측으로 나타난다. 일부에서는 완전히 회복되지 못하여 안면 근육의 불완전 마비, 구축 등의 후유증으로 인해 하악의 편측 변위 또는 편측 저작 습관 및 부조화가 나타나며, 따라서 만약 무치악 환자에서 총의치로 수복한다면 더욱 세심한 주의가 필요하다. 본 증례에서는 벨마비의 후유증과 불안정한 하악 운동으로 인해 술자에 의한 중심위 채득이 어려운 무치악 환자에서 고딕아치 묘기법으로 재현성 있는 중심위를 채득하고, 중심위와 환자의 습관적인 하악 기능 운동 범위 간의 자유도 부여를 위해 설측 교합을 이용하여 총의치를 제작함으로써 기능 및 심미적으로 양호한 결과를 얻었기에 보고하는 바이다.

• 동의생리병리학회지
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• 제18권5호
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• pp.1533-1537
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• 2004

This study shows that oriental medical treatment affected a patient with headache, dizziness, dim eyes, facial palsy and hard-of-hearing caused by traumatic temporal and occipital bone fracture. Traumatic facial palsy mainly occures by temporal bone fracture. Facial palsy caused by traumatic temporal bone fracture corresponds to gu-an-wa-sha (口眼?斜)of oriental medicine. Functional disorder of an auditory organ corresponds to yi-rong(耳聾) and hyun-hoon(眩暈) of oriental medicine. In general, everyone consider surgical operation first of all, in the case of having traumatic facial nerve paralysis. But, this case shows that oriental medical treatments(acupuncture and herbal medicine) have a good effect on a patient with traumatic temporal and occipital bone fracture.

• 기본간호학회지
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• 제4권2호
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• pp.175-192
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• 1997

The purpose of this study was to identify the care needs of family-caregivers to the patients with stroke. Subjects were 115 family-caregivers caring for the patients while they were in-patients or out-patients with stroke in two general hospitals and one oriental medicine hospital located in Seoul and Kwang-Ju. The instrument used for this study was made by the researcher on the basis of results of literature review and interviews with family-caregivers, composed of 35 items. Internal validity by calculation of cronbach's alpha with data of respondents was 0.91, which was regarded as high. The Data were analyzed by SAS program, with percentage, mean, t-test, and ANOVA. Factor structures of care needs of family-caregivers were elicited by factor analysis(PCA, Varimax rotation). Datum collection had been from July 1 to August 14, 1997. The results of this study were as follows : 1. The mean score of the sum of the care needs of family-caregivers was 3.96 and the highest-mean item was 'need for immediate care(M=4.77)', and the lowest-mean item was 'need for chaplian's visit (M=2.82)'. 2. Care needs of the family-caregivers were : Need to be informed of the disease, treatment and care ; need of education and assistance related to physical functional level ; need of social support and consultation ; need of management of nursing problem related to immobility ; need of appreciation ; need of the way to communicate with patients ; need of immediate care and help. The highest mean factor was the 'need for immediate care and help(M=4.74)', and the lowest mean factor was the 'need of appreciation(M=3.58)'. 3. The variables influencing the degree of care needs perceived by family-caregivers to the patients with stroke were as follows : There were significant differences between need to be informed of the disease, treatment and care and general characteristic factors, which were family caregiver's sex (p=.0178), caring period(p=.0223) and patient's suffering period(p=.0244). There were significant differences between need of education and assistance related to physical functional level and general characteristic factors, which were patient's paralysis(p=.0177), patient's ADL dependency(p=.0032). There were significant differences between need of social support and consultation and general characteristic factors, which were family caregiver's sex(p=.0055), occupation(p=.0159), religion(p=.0093) and patient's sex(p=.0134). There was significant difference in the degree of need of management of nursing problem related to immobility, according to the patient's ADL dependency(p=.0493). There were significant differences between need of appreciation and general characteristic factors, which were family caregiver's age(p=.0107), sex(p=.0133), and patient's age(p=.0338). There were significant differences between need of the way to communicate with patient and general characteristic factors, which were patient's paralysis(p=.0002) and aphasia(p=.0001). There were significant differences between need of immediate care and help and general characteristic factors, which were family caregiver's caring period(p=.0162) and patient's suffering period(p=.0116). 4. The mean score of patient's ADL dependency was 3. 38 and the highest-mean item was 'ascending and descending stairs(M=4.12)', and the lowest-mean item was 'drinking(M=2.60)'. There was no significant difference in the degrees of care needs related to the patient's ADL dependency. 5. The highest information source of family-caregivers was from the doctors about the disease, treatment and care(26.1%). The second highest one was from mass media(20.8%), and the third one was from the nurses. The above findings may be used as the basic data to seek more efficient way of elevating nursing practice and quality for family-caregivers to the patients with stroke.

• 성인간호학회지
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• 제12권4호
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• pp.666-677
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• 2000

The purpose of this study was to identify the needs which were perceived by patients who were received spinal anesthesia for surgery. The subjects consisted of 50 adult patients who were admitted to 2 university hospitals and 2 general hospitals in Pusan city and 1 general hospital in Koje City for surgery under spinal anesthesia. Thirty eight percent of subjects received information about anesthesia before the operation. The instrument for this study was developed by the researcher based on literature and a pretest. Data were collected from December 10, 1999 to February 10, 2000 and were analyzed by content analysis. The results were that there were 533 meaningful statements in the needs of spinal anesthesia patients. The needs of spinal anesthesia patients had 51 items (preoperation (6), induction of anesthesia(5), intraoperation (27), postoperation(13)) and 6 categories (information, emotional welfare, physical welfare, post anesthetic management, control of physical environment, humane treatment). From the results, it can be concluded that: 1. In the pre-operation period, we have to explain anesthesia procedures, adequate position of anesthesia, duration before anesthesia wears off and sensation of paralysis. We have to supply emotional support to relieve anxiety because of anesthesia. 2. In induction of anesthesia, we have to support patient's position for anesthesia, and relieve anxiety so that patients participate in induction of anesthesia well. 3. In intra-operative period, we have to check the level of anesthesia, and keep up a comfortable position for operation and care for physical discomfort such as thirst, nausea, vomiting, dyspnea and to maintain body temperature of the patient. Since the patient is conscious, we have to communicate with the patient to relieve anxiety, maintain privacy, inform the patient of the process of the operation and encourage the surgeon to explain the outcome of the operation. The operating team needs the careful about what they say and to place the instrument well. We have to ventilate the room air and reduce noise. 4. In the post-operative period, we have to explain the purpose and duration of bed rest, complications of anesthesia and care for physical discomfort such as pain, dysuria, headache, backache. Also we have to maintain body temperature of the patient and maintain privacy.

• 대한후두음성언어의학회지
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• 제20권2호
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• pp.118-125
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• 2009

Bilateral vocal fold immobility (BVFI) is a challenging condition which may result from diverse etiologies including vocal fold paralysis, synkinesis, cricoarytenoid joint fixation, and interarytenoid scar. Most patients present with dyspnea and stridor, but sometimes with a breathy dysphonia. Careful history taking, laryngoscopic evaluation under general anesthesia or awaken status, laryngeal EMG, and imaging studies with CT and/or MRI are helpful for providing a precise diagnosis and planning appropriate managements. In children, congenital neurological disorder is one of the most common etiologies, and spontaneous recovery has been reported in more than 50% of cases. Therefore, observation for more than 6 months while securing the upper airway with tracheostomy if needed is a generally accepted rule before deciding any destructive procedure to be undertaken. In children with advanced posterior glottic stenosis, laryngotracheal reconstruction with rib cartilage graft should be considered. In contrast to children, BVFI most commonly occurs as sequalae of surgical complication in adults. Diverse static or dynamic procedures can be applied; posterior cordotomy, vocal fold lateralization, endoscopic or open arytenoidectomy, arytenoid abduction, and reinnervation, electrical laryngeal pacing, which need to be carefully selected according to each patient's needs and pathophysiology of BVFI.

• 한국정보통신학회:학술대회논문집
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• 한국정보통신학회 2018년도 추계학술대회
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• pp.377-378
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• 2018

본 논문은 이전에 발표한 "FPGA와 OpenCV를 이용한 눈동자 모션인식을 통한 의사소통 시스템"을 보완한다. 몸을 자연스럽게 움직일 수 없는 전신마비, 루게릭 환자들을 위한 시스템으로, 눈동자의 모션을 인식하여 FPGA에서 텍스트를 실시간으로 선택한다. 본 논문에서는 사용자가 전신마비 환자인 것을 기반으로 눈 검출 기능의 연산을 최소한으로 줄여 모션인식의 속도를 향상키는 알고리즘을 제안한다.

• 대한한방내과학회지
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• 제25권4호
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• pp.450-456
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• 2004

Guillain-Barre syndrome, or acute inflammatory polyneuritis, is a disorder in which the body's immune system attacks parts of the peripheral nervous system. The causes and mechanisms of this syndrome are unknown. Typically, Guillain-Barre syndrome can be diagnosed from the patient's symptoms and physical examination such as the rapid onset of weakness, paralysis and loss of reflexes. The analysis of CSF and electrical tests on nerve and muscle function can be performed to confirm the diagnosis. Most cases occur shortly after a viral infection. This is a clinical report about one patient suspected as having Guillain-Barre syndrome. The patient, a 62-year-old man had weakness in both legs after gastroduodenal disease. His weakness and general condition improved after Korean medical treatments, so this is reported as a potential treatment.

• 수면정신생리
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• 제9권2호
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• pp.115-121
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• 2002

목 적 : 한국인들에게 가위눌림이라고 알려진 수면마비는 일반인들이 흔히 경험하는 현상이지만, 주요 정신질환에서의 발생율과 특성에 대한 연구는 드물다. 본 연구의 목적은 정신분열병 및 기분장애 환자와 일반인에서의 수면마비 발생율을 비교하고 그들이 경험하는 수면마비의 임상적 특징을 조사하는데 있다. 방 법 : 2002년 4월부터 9월까지 부산 소재 일 대학병원 정신과 입원 및 외래 환자 중 정신분열병, 양극성 정동장애, 또는 주요 우울증으로 진단 받은 환자들과 부산시내 거주하는 건강한 성인들을 대상으로 가위눌림 경험 설문지, 수면-각성 일정 설문지, 불면증 척도, 졸음 척도 등을 시행하였다. 결 과 : 단독성 수면마비 발생율은 환자군이 41.9%, 대조군이 38.7%이었다. 환자군은 대조군에 비해 중증과 중등도 수면마비의 비율이 높은 반면, 대조군은 환자군에 비해 경도 수면마비의 비율이 높았다(p<0.05). 수면마비의 첫 삽화를 경험한 나이는 두 군 모두 주로 $16{\sim}25$세에 분포하였다. 수면마비의 발생시간은 환자군과 대조군 모두 입면시와 각성시에 비해 수면 중간의 경험(환자군 52.3%, 대조군 63.6%)이 많았다(p<0.001). 환자군의 38.5%와 대조군의 38.2%는 수면마비를 경험하기 전 신체적, 심리적 스트레스가 선행했던 것으로 나타났다. 환각은 수면마비에서 흔히 동반되는 증상이었으며(환자군 90.8%, 대조군 85.5%), 두 군간에 유의한 차이는 없었다. 수면마비시 경험하는 감정으로는 공포(환자군 72.3%, 대조군 80.0%)가 가장 많았다. 결 론 : 정신분열병과 기분장애 환자들의 수면마비 발생율은 일반인들의 그것과 차이가 없었다. 그러나 환자들은 일반인보다 수면마비를 경험하는 횟수가 더 많았다. 수면마비에는 흔히 다양한 환각과 공포가 동반되었다.

• Journal of Yeungnam Medical Science
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• 제16권2호
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• pp.228-236
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• 1999

저자들은 한국인 갑상선 기능 항진증에 동반된 주기성마비의 임상적 특정을 알아보고자 1986년 3월부터 1996년 3월까지 영남대학교 의과대학 부속 병원 내과에 내원하여 갑상선기능 항진증을 진단받은 환자 997명 중 주기성마비를 보였던 19명을 관찰하여 다음과 같은 결과를 얻었다. 대상환자 997명 중 남자는 296명, 여자는 701명이었고, 이들 중 주기성마비는 19명에서 발생하여 빈도는 1.9%이었다. 성별분포는 남자에서 6%(18/296), 여자에서는 0.2%(1/701)의 발생률을 보였다. 또한 마비가 시작된 연령은 19 - 55세로서 평균 35세이었다. 마비는 주로 하지(14/19, 73.6%)에 일어났고, 상하지 모두에서 발생한 경우도 3명(15.7%)이었으나, 상지만 발생된 경우는 없었다. 그리고 원위부보다 근위부에 더 심한 마비를 보였다. 총 19명의 대상환자들 중 6명(38.5%)의 환자에서는 선행 유발요인을 찾을 수 없었으나 나머지 환자들에서는 과식(5/19, 26.3%), 음주(3/19, 15.7%), 육체적 과로(4/19, 21%), 감염(1/19, 5.2%) 등이 유발요인으로 작용하였다. 19명의 환자의 마비발작시 혈중 칼륨 수치는 1.5-6.1(평균 $3.2{\pm}1.2$ mEq/L)으로 다양하게 나타났다. 환자들은 칼륨투여와 동시에 모두 PTU와 베타차단제로 치료받았으며, 갑상선 기능이 정상화되면서부터 재발한 환자는 2명이었고, 나머지 17명에서는 정상 갑상선 기능하에서 마비가 생기지 않았다. 이상에서 갑상선 기능항진증 환자에서 발생하는 주기성마비는 갑상선 기능항진증에 의해서 유발되는 것이 확실하나, 정상 갑상선기능하에서도 주기성 마비가 재발하고, 갑상선 기능항진증의 2% 정도에서만 주기성 마비가 발생한다는 것은 근세포막전위를 유지하는 생화학적 경로 이상 이외에 유전적 감수성 등과 같은 다른 기전들도 갑상선 중독성 주기성마비에 관여할 것으로 생각된다. 또한, 마비발작이 어떻게 시작되는지, 마비발작은 어떠한 기전으로 저절로 호전이 되는지, 왜 젊은 아시아인에서 많이 발생하는지에 대해서는 알려진 바가 없어, 향후 이에 대해서도 많은 연구가 필요할 것으로 생각된다.

• 혜화의학회지
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• 제23권1호
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• pp.137-148
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• 2014

Objective : This is clinical about the Wei syndrome(痿證)-patient diagnosed as Guillian-Barre Syndrome(GBS). GBS, What is called acute inflammatory plolyneuritis, is a disorder in which the body's immune system attacks parts of peripheral nerve system. It is characterized by the rapid onset of weakness, paralysis of the legs, arms, breathing muscles and face. But the analysis of CSF and electical tests on nerve and muscle function can be performed to confirm the diagnosis. Most cases occur shortly after a viral infection. Methods & Result : This is the clinical report about the one patient diagnosed as Guillain-Barre Syndrome. The patient, 46-year-old men had weakness in both legs and arms after divertculitis. His weakness and general condition improved after oriental medical treatment and acupuncture. As a result, symptoms were improved remarkably. Conclusion : We report that we had good effects of oriental medical treatment on Guillain-Barre Syndrome.