• 제목/요약/키워드: OMD

검색결과 56건 처리시간 0.017초

자가 처방 감초 다량 복용 후 발생한 저칼륨성 하지마비 1례 (A Case of Self-prescribed Licorice-induced Hypokalemic Paralysis)

  • 권승원;정환용;윤승규;서유리;박준영;임진욱;정우상;문상관;조기호;김영석
    • 대한한의학회지
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    • 제32권5호
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    • pp.134-138
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    • 2011
  • Glycyrrhetinic acid, which is a component of licorice, can cause hypermineralocorticoidism through the inhibition of $11{\beta}$-hydroxysteroid dehydrogenase. So, a high dose intake of licorice can lead to hypermineralocorticoidism with potassium loss and depression of the renin-angiotensin-aldosterone system. We report a 73-year-old man with muscle weakness of proximal lower limbs with hypokalemia (Serum $K^+$: 1.4 mEq/L) due to taking self-prescribed licorice without OMD's diagnosis. He boiled 60~100g licorice / day in water and drank it intermittently for 1 month due to arthralgia and swelling of both his knees. Patient's serum renin activity and aldosterone level were far beyond the normal range. He also had metabolic alkalosis with pH 7.552. After quitting the licorice, hypokalemia and muscle weakness of proximal lower limbs gradually improved within 1week.

노권상(勞倦傷)의 인과 구조 분석 (Analysis of Cause and Effect Structure for Nogwonsang)

  • 윤규진;이상철;김민용;박영배;박영재
    • 대한한의진단학회지
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    • 제14권1호
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    • pp.1-14
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    • 2010
  • Backgrounds : Bojungikgitang is one of the most common herbal prescriptions in Oriental Medicine, and it is highly recommended prescription for Nogwonsang syndrome. The Author developed Nogwonsang questionnaire for quantitative evaluation. Nogwonsang questionnaire is consisted of causes that induce fatigue, symptoms that directly associated with fatigue, and secondary symptoms that is induced from fatigue. Purposes : This study aims to verify whether the Bojungikgitang Questionnaire has causality and meaningful path structure by path analysis. Methods : 242 patients from 12 OMD clinics participated in this study. The patients executed a question investigation in the object. Factor analysis was conducted for extraction of factor and abridgment of items. Path analysis was conducted to verify path structure. SPSS 15.0 for Windows and AMOS 7.0 were used for statistical analysis. Results : Overwork factor explains fatigue factor. Coefficient is 0.771. Fatigue factor explains digesting and cold factor. Individually coefficient is 0.632 and 0.465. Model fit is $X^2=61.395$(df=51), GFI=0.960, AGFI=0.939, NFI= 0.924, CFI=0.986, RMSEA=0.029. Path structure is proved to be significant. Conclusions : Further research is needed Gold standard of Nogwonsang. Establishment of Gold standard leads and the collection of data and the research which are objective are possible. Connection of the clinical indexes which are objective on the paperweight outside and leads and the development of the diagnosis tool which is fixed quantity is demanded.

Determination of Nutritive Value of Wild Mustard, Sinapsis arvensis Harvested at Different Maturity Stages Using In situ and In vitro Measurements

  • Kamalak, Adem;Canbolat, Onder;Gurbuz, Yavuz;Ozkan, Cagri Ozgur;Kizilsimsek, Mustafa
    • Asian-Australasian Journal of Animal Sciences
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    • 제18권9호
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    • pp.1249-1254
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    • 2005
  • The aim of this study was to determine the effect of maturity stage on the nutritive value of wild mustard straw in terms of chemical composition, in situ, in vitro dry matter degradability and calculated ME. The nutritive values of wild mustard, Sinapsis arvensis hays harvested at three stages were evaluated by chemical composition, in vitro gas production and in situ dry matter degradation methods. Gas production or dry matter (DM) degradation were determined at 0, 3, 6, 12, 24, 48, 72 and 96 h and their kinetics were described using the equation p = a+b(1-e$^{-ct}$). Maturity had a significant effect on both the chemical composition and degradability of wild mustard. Neutral detergent fibre (NDF) and acid detergent fibre (ADF) (p<0.001) increased with increasing maturity whereas the crude protein (CP) (p<0.001) decreased. The gas produced after 96 h incubation ranged between 64.7 and 81.5 ml per 0.200 g of dry matter. The gas production (ml) at all incubation times and estimated parameters decreased with increasing maturity of wild mustard. The gas production at all incubation times and estimated parameters (a, b (a+b), metabolizable energy (ME) and organic matter digestibility (OMD)) were negatively correlated with NDF and ADF. The DM disappearance after 96 h incubation ranged between 50.8 and 76.1%. The in situ DM disappearance at all incubation times and estimated parameters decreased with increasing maturity of wild mustard. The in situ dry matter disappearance at all incubation times and some estimated parameters (c, a, b and effective dry matter degradability (EDMD)) were negatively correlated with NDF and ADF but positively correlated with CP. The nutritive value of wild mustard continually changed as it matured. Wild mustard, harvested at the proper stage of maturity offers considerable potential as a high quality forage for ruminants during the winter feeding period. The present study showed that if higher quality forage is an objective, wild mustard should be harvested at the early flowering stage.

안면미용침의 부작용 및 안전성에 대한 조사;시술자 23인을 중심으로 (A Survey of Adverse Events and Safety following Treatment of the Facial Cosmetic Acupuncture (Miso-Acupuncture))

  • 권승구;이윤규;박서영;고경모;이윤경;김재수;이봉효;임성철;정태영;이경민
    • Journal of Acupuncture Research
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    • 제25권1호
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    • pp.199-209
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    • 2008
  • Objectives : To explore the adverse events and safety following facial cosmetic acupuncture treatment (Miso-Acupuncture). Subjects and methods : This study was a retrospective survey of practitioner's reports. The practitioners worked as facial cosmetic acupuncturists, gave informed consent, and completed a case report form between July and November of 2007. On this form, practitioners were asked to report the degree of adverse events relating to the Miso-Acupuncture, the total safety of the treatment, and reasons patients gave for quitting treatment. The practitioners in this study were all Oriental Medicine Doctors(OMD) who had trained at the Miso-Acupuncture Academy for 40 hours we received 23 final report cases. Results : In this study, adverse events following Miso-Acupuncture treatment were mild bruising(15 ; 65.2%), bleeding(12 ; 52.2%), pain(8 ; 34.8%), fatigue(7 ; 30.4%), headache(5 ; 21.7%), and others(10 ; 43.5%). The average degree of adverse events was between mild and moderate, which needs no extra treatment. The total safety of treatment for 16 weeks was between safe and nearly safe, and there was no need to quit treatment in spite of mild adverse events. Eight patients(34.8%) quit treatment, almost all for personal reasons unrelated to the Miso-Acupuncture. Conclusions : These results suggest that the Miso-Acupuncture has no serious adverse events and is a relatively safe treatment.

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치과 임플란트 주변 협설측 치조골의 변화분석 - 하악골 시편에서의 디지털 농도분석법을 이용한 실험적 고찰 - (Evaluation of bone quality in alveolar crest obscured by dental implants ; A pilot study by densitometric digital analysis in mandibular bone specimen)

  • 권긍록
    • 대한치과보철학회지
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    • 제36권6호
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    • pp.900-913
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    • 1998
  • 임플란트 치과 임상에서, 협, 설측의 골조직 상태는 임플란트 재료의 높은 밀도 때문에 구내용 방사선사진으로는 파악할 수 없으나, 디지털 분석을 이용한 정량적 방사선 분석법을 사용하여 이 부위를 파악하고자 하였다. 건조 하악골에 10개의 직경 3.3mm인 solid screw형태의 $ITI^{(R)}$ 임플란트(Institute Straumann, Waldenberg, Switzerland)을 매식한 다음, 이들을 10개의 골 시편으로 절단한 후, 방사선사진 촬영을 시행했다. 일련의 중첩상을 얻기 위해, 특별히 고안된 방사선필름 고정기와 D속도 필름($Ultra-speed^{(R)}$, Kodak, USA)을 사용했으며, 고 해상도의 디지털 분석을 위해, 비디오카메라($Kodak-Eikonix^{TM}$, USA)로 필름을 scan하고 software(LaboImage, Computing Science Center, Geneva University)를 이용해 정량적 분석을 시행했다. 방사선 촬영은 4 방향(통상적인 periapical projection에 의한 근, 원심(MD)방향 및 협, 설(BL) 조사위, 통상적인 occlusal projection에 준한 25도 경사진 근, 원심(OMD) 및 25도 경사진 협, 설(OBL)조사위)으로 시행했으며, 각 시편에서 4장의 연속 중첩 방사선사진(superimposable radiograph)을 임플란트 매식공 천공 후, 임플란트 매식 후, 임플란트 주변(협,설) 골 손상 후, 임플란트 제거 후의 상황에서 표준화된 방법으로 촬영해서 얻었다. 기술적인 어려움에도 불구하고, occlusal projection으로 촬영하고, 이를 디지털 농도 분석한 방법에서. 치과 임플란트 주변 협, 설측의 미세골 변화를 파악할 수 있을 것으로 보였다. 특히, occlusal projection이 periapical projection에 비해 더욱 민감한 골 변화를 인지하는 것으로 나타났다. 비록 이 실험의 결과가 제한된 조건에서 얻어졌지만, 실제 임플란트 임상에서 임상가들에게 진단적 차원에서의 새로운 가능성과 다양성을 제시해 줄 수 있으리라 사료된다.

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한의사인력(韓醫師人力) 공급(供給)의 적정화방안(適定化方案) 연구(硏究) (The Rearch Of Method in the Appropriate number of Demand and Supply of OMD)

  • 이종수
    • 대한한의학회지
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    • 제19권1호
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    • pp.299-326
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    • 1998
  • 1. Comparison of demand and supply A. Assumption of estimation of demand and supply we will briefly assumptions used for presumption once more before comparing the result of estimation of demand and supply examined previously 1) supply - The average applying rate for state. examination of graduate: ${\alpha}$=1.03109 - The ratio of successful applicants of state examinations: ${\beta}$=0.97091 - Mortality classified by age : presumed data of the Bureau of statistics - Emigrating rate: 0 % - Time of retire: unconsidered - An army doctor number: unconsidered and regard number of employed oriental medicine doctor. - Standard of 1995 : The number of survival oriental medicine doctor is 8195. the number of employed oriental medicine doctor is 7419. 2) demand - derivated demand method Daily the average amount of medical treatment: according to medical insurance federation data. there is 16 or 6 non allowance patient, we consider amount of medical treatment as 22 persons in practical because 21.94 persons (founded practical examination) are converted to allowance in comming demand. Daily the proper amount of medical treatment: 7 hours form -35 persons 5 hours 30 minutes form -28 persons. Yearly medical treatment days: 229 days. 255 days. 269 days . Increasing rate of visiting hospital days: -1996 year. 1997 year. 1998 year- . Rate of applying insurance: yearly average 71.51% (among the investigated patient) B. Comparison of total sum result 1) supply (provision) Table Ⅳ-1 below shows the estimation of the oriental medicine doctor in the future.

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