• Title/Summary/Keyword: National Medical Center

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Tuberculosis Relief Belt Supporting Project (Tuberculosis Patient Management Project for Poverty Group)

  • Kim, Jae Kyoung;Jeong, Ina;Lee, Ji Yeon;Kim, Jung Hyun;Han, Ah Yeon;Kim, So Yeon;Joh, Joon Sung
    • Tuberculosis and Respiratory Diseases
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    • v.81 no.3
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    • pp.241-246
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    • 2018
  • Background: The "Tuberculosis Relief Belt Supporting Project (Tuberculosis Patient Management Project for Poverty Groups)" is a national program for socioeconomically vulnerable tuberculosis (TB) patients. We sought to evaluate the clinical and socioeconomic characteristics of poverty-stricken TB patients, and determined the need for relief. Methods: We examined in-patients with TB, who were supported by this project at the National Medical Center from 2014 to 2015. We retrospectively investigated the patients' socioeconomic status, clinical characteristics, and project expenditures. Results: Fifty-eight patients were enrolled. Among 55 patients with known income status, 24 (43.6%) had no income. Most patients (80%) lived alone. A total of 48 patients (82.8%) had more than one underlying disease. More than half of the enrolled patients (30 patients, 51.7%) had smear-positive TB. Cavitary disease was found in 38 patients (65.5%). Among the 38 patients with known resistance status, 19 (50%) had drug-resistant TB. In terms of disease severity, 96.6% of the cases had moderate-to-severe disease. A total of 14 patients (26.4%) died during treatment. Nursing expenses were supported for 12 patients (20.7%), with patient transportation costs reimbursed for 35 patients (60%). In terms of treatment expenses for 31 people (53.4%), 93.5% of them were supported by uninsured benefits. Conclusion: Underlying disease, infectivity, drug resistance, severity, and death occurred frequently in socioeconomically vulnerable patients with TB. Many uninsured treatment costs were not supported by the current government TB programs, and the "Tuberculosis Relief Belt Supporting Project" compensated for these limitations.

1 Case of the facial nerve palsy in Herpes Zoster Oticus - Focused on a case that were improved slightly by medical treatments (이성대상포진으로 인한 구안와사 환자 1례 - 서양의학적 치료에 호전이 적은 환자를 중심으로)

  • Kang, Rae-Yeop;Kim, Hyun-Jin;Han, Hyo-Jung;Park, Eun-Young;Jang, Jeong-A;Kang, Hyun-Sun;Kim, Jin-Won;Seo, Ho-Seok
    • Herbal Formula Science
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    • v.17 no.2
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    • pp.215-224
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    • 2009
  • Objectives : This study was designed to evaluate the effects of oriental medical treatments on the facial nerve palsy in Herpes Zoster Oticus. Methods : Subjects were 1 patients with the facial nerve palsy in Herpes Zoster Oticus. She had improved slightly still she had be gotten the medical services on inpatient states for 2 month. We gave Kamiligigepung-san to the patient 90 minutes after each meal and tried acupuncture 2 times every day. And we had evaluated the conditions of the patient using VAS, House-Brackmann Grade and Yanagihara scale. Results : After the comparison between an admission and discharge date at VAS, House-Brackmann Grade and Yanagihara scale, the facial nerve palsy of the patient had improved. Conclusions : It is effective the Kamiligigepung-san and Acupuncture on the facial nerve palsy in Herpes Zoster Oticus.

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A Pilot Study about The Effect of Chunwangbosim-dan(天王補心丹) on Heart Rate Variability of Healthy Subjects (천왕보심단이 정상인의 심박변이도에 미치는 영향에 대한 예비연구)

  • Kang, Rae-Yeop;Kim, Hyun-Jin;Han, Hyo-Jung;Park, Eun-Young;Jang, Jeong-A;Seo, Ho-Seok;Kim, Jin-Won;Kang, Hyun-Sun;Kim, Jee-Hoon;Cho, So-Hyun
    • Journal of Oriental Neuropsychiatry
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    • v.20 no.4
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    • pp.127-135
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    • 2009
  • Objectives : This study was conducted to assess the effect of Chunwangbosim-dan(CB) on the autonomic nervous system by using heart rate variability measurement. Methods : The eligible subjects were composed of the healthy female group of ages 25 to 30 years. They were divided into two groups, the CB group(n=16) and the control group(n=16). We measured the heart rate variability respectively for 3 times at 14:00, 16:00, and 17:00. In the CB group, subjects were administered CB at 15:00. For the measurement values, Mean Heart Rate and SDNN(standard deviation of the NN intervals) were used as time domain analysis, and HF(high frequency), LF(low frequency), and LF / HF ratio were used as frequency domain analysis. Results : The degree of LF changes in the CB group was significantly lower than control group at 1 hour after administration. Conclusions : We suggest that Chunwangbosim-dan may be useful for stabilization of the autonomic nervous system by controlling sympathetic nerve in healthy people.

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A Case of Bronchial Arterial Embolization of Massive Hemoptysis (대량각혈에 대한 기관지동맥 색전술 1예)

  • Lim, Youn-Sik;Suh, Jung-Eun;Jeong, Suk;Cho, Dong-Ill;Kim, Jae-Won
    • Tuberculosis and Respiratory Diseases
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    • v.38 no.4
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    • pp.396-400
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    • 1991
  • Massive and untreated hemoptysis is associated with a mortality of greater than 50 percents. Since the bleeding was from a bronchial arterial source in the vast majority of patients, embolization of the bronchial arteries has become an accepted treatment in the management of massive hemoptysis because it achieves immediate control of the patients. We have controlled massive hemoptysis in a case with selective bronchial arteral embolization with Gelfoam.

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Effects of Acupuncture therapy on Cerebral Blood flow in Migraineurs (편두통 환자의 뇌혈류에 대한 침치료의 효과)

  • Kim Dong-Won;Ahn Kyo-Pil;Eom Hoy-Jin;Nam Young;Lee Si-Sup
    • Journal of Acupuncture Research
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    • v.18 no.6
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    • pp.135-140
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    • 2001
  • Objective : To investigate the effects of Acupuncture therapy on the migraineur by way of the change of the Cerebral blood flow. Methods : 6 migraineurs were inserted in acupoints on GV16, G20, S8 during 2 weeks. and, Mean Velocity (MV) and Pulsatility Index (PI) of MCA, PCA, ACA, BA were measured before and after treatments of 2 weeks, respectively. Results : MV of MCA of the migraineurs was decreased very much by 13.3%, and PI was decreased much by 10.4%. However, MV and PI of BA changed little. Conclusion : It is observed that Acupuncture therapy reduces pains of migraineur through decreasing Cerebral blood flow like MCA.

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A case of pulmonary disease with unilateral hyperlucent lung (일측성 방사선 과투시성을 보인 폐질환)

  • Ohn, Joon-Sang;Seo, Jee-Young;Park, Mi-Ran;Rheu, Nam-Soo;Cho, Dong-Ill
    • Tuberculosis and Respiratory Diseases
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    • v.43 no.6
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    • pp.1042-1047
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    • 1996
  • The Swyer-James syndrome is a relatively uncommon disease entity presented with unilateral hyperlucent lung due to hypoplasia of a pulmonary artery and bronchiectasis of the affected lung. The main finding is a hyperlucent lung with small hilar shadows on the chest X-ray. Pulmonary angiography is the standard method for diagnosis. We report a case of the Swyer-James syndrome with a brief review of literature.

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Acute Pulmonary Edema Caused by Inhalation of Nitrogen Dioxide (이산화질소(Nitrogen Dioxide ; $NO_2$) 흡입에 의한 폐부종 1예)

  • Doh, Sung-Kyoung;Jeong, Hong-Bae;Koh, Young-Min;Yoon, Yoon-Bo;Chung, Yeon-Tae
    • Tuberculosis and Respiratory Diseases
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    • v.44 no.6
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    • pp.1408-1413
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    • 1997
  • A 68 year-old male was admitted with complaint of dyspnea and nonproductive cough which developed 6 hours after accidental inhalation of nitrogen dioxide. On admission, acute pulmonary edema and severe hypoxemia were found. With oxygen and bronchodilator therapy, diffuse alveolar consolitation and his dyspnea were improved from the following day. He was discharged at 8th hospital day with prednisolone 30mg daily for prevention of bronchiolitis obliterans. During 6 weeks of follow up, there was no evidence of bronchiolitis obliterans.

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A Clinical Report of Two Patients with Insomnia by Korean Traditional Treatment and Progressive Muscle Relaxation (한방치료와 점진적 근육이완법으로 호전된 불면 환자 치험 2례)

  • Lee, Jin-Hwan;Kang, Hyun-Sun;Kim, Jin-Yi;Sung, Woo-Yong;Kang, Rae-Yeop
    • Journal of Oriental Neuropsychiatry
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    • v.20 no.4
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    • pp.173-183
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    • 2009
  • Objectives : This study was designed to report the effect of Korean traditional treatment and progressive muscle relaxation for insomnia. Methods : We treated two patients scored more than 15 point at insomnia severity index by korean traditional treatment and progressive muscle relaxation. Results : After treatment, sleep duration and sleep quality was improved. Insomnia Severity Index, Pittsburgh Sleep Quality Index score were decreased. Conclusions : We may conclude that korean traditional treatment and progressive muscle relaxation is effective in patients with insomnia.

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Fine Needle Aspiration Cytology of Sparganosis (스파르가눔증의 세침흡인 세포학적 소견)

  • Paeng, Sung-Suk;Kim, Yoon-Ju;Yang, Seong-Eun;Chang, Hee-Jin;Suh, Jung-Il;Moon, Young-Chun
    • The Korean Journal of Cytopathology
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    • v.7 no.1
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    • pp.59-63
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    • 1996
  • Human sparganosis is a rare parasitic disease in which the larval cestode proliferates in the various organs in the body. It usually presents as a subcutaneous or soft tissue mass. By fine needle aspiration this lesion can be diagnosed with its characteristic cytologic findings. We experienced 3 cases of sparganosis diagnosed by the fine needle aspiration. Aspirates were taken from subcutaneous mass in the abdomen and both thighs respect ively. The aspirates showed a portion of body of sparganum with numerous calcospherules, smooth muscles and tegmental cells. They also revealed granulomas with various inflammatory infiltration of eosinophils, neutrophils, lymphocytes and plasma cells.

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