• 혜화의학회지
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• 제23권2호
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• pp.33-38
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• 2015

The purpose of this study was to report the effect of Bogijetong-tang on post-herpetic neuralgia(PHN). The main symptoms were numbness, pain, burning, paresthesia on left dorsum pedis and insomina. We prescribed Bogijetong-tang (BJT) three times a day and performed acupuncture and moxibustion twice a day. We observed the change of symptoms to evaluate the therapeutic effect. The symptoms were evaluated with numerical rating scale(NRS). After the treatment, pain decreased from 8 to 3, burning from 5 to 1, paresthesia from 7 to 5, numbness from 5 to 3 and insomina improved. Above the results, Bogijetongtang is effective in treating post-herpetic neuralgia.

• The Korean Journal of Pain
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• 제26권1호
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• pp.98-101
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• 2013

Postherpetic neuralgia (PHN) is a debilitating complication of herpes zoster, especially in elderly and comorbid patients. Unfortunately, the currently available treatments have shown limited efficacy and some adverse events that are poorly tolerated in elderly patients. Scrambler Therapy, proposed as an alternative treatment for chronic neuropathic pain recently, is a noninvasive approach to relieve pain by changing pain perception at the brain level. Here, we report our clinical experiences on the effect of Scrambler Therapy for three patients with PHN refractory to conventional treatment.

• The Korean Journal of Pain
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• 제36권1호
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• pp.4-10
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• 2023

Herpes zoster (HZ) is a common disease in the aging population and immunocompromised individuals, with a lifetime risk of 20%-30% that increases with age. HZ is caused by reactivation of the varicella-zoster virus (VZV), which remains latent in the spinal dorsal root ganglia and cranial sensory ganglia after resolution of the primary VZV infection. The main focus of HZ management is rapid recovery from VZV infection as well as the reduction and prevention of zoster-associated pain (ZAP) and postherpetic neuralgia (PHN). The use of antivirals against VZV is essential in the treatment of HZ. However, limited antivirals are only licensed clinically for the treatment of HZ, including acyclovir, valacyclovir, famciclovir, brivudine, and amenamevir. Fortunately, some new antivirals against different types of Herpesviridae have been investigated and suggested as novel drugs against VZV. Therefore, this review focuses on discussing the difference in efficacy and safety in the currently licensed antivirals for the treatment of HZ, the applicability of future novel antivirals against VZV, and the preventive or therapeutic effects of these antivirals on ZAP or PHN.

• 한국미생물학회:학술대회논문집
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• 한국미생물학회 1991년도 춘계학술발표대회 논문집
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• pp.67-81
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• 1991

• 한국동물학회:학술대회논문집
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• 한국동물학회 1997년도 한국생물과학협회 학술발표대회
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• pp.80-80
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• 1997

No Abstract, See Full Text

• 한국미생물학회:학술대회논문집
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• 한국미생물학회 1999년도 제39회 춘계학술발표대회
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• pp.55.1-55.1
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• 1999

• The Korean Journal of Pain
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• 제3권1호
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• pp.51-54
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• 1990

대상포진후 신경통의 치료를 위하여 사용하였던 스테로이드로 인한 고혈당증을 동반한 환자를 치료한 결과를 다음과 같이 요약한다. 첫째, 통증치료실에서 흔히 쓰이는 약물 중에는 고혈당증을 유발하는 것이 많으므로 처치전에 고혈당이 영향을 주는 다른 질환의 유무를 확인하도록 한다. 둘째, 스테로이드 사용으로 인하여 발생되는 일시적인 고혈당중의 경우에는 스테로이드 사용 중단으로 회복이 가능하나 잠재되어 있던 당뇨병의 발현시는 지속적인 당뇨병의 치료를 필요로 한다. 셋째, low level laser therapy는 혈당치에 영향을 미치지 않는 통증치료법으로 유용하게 사용될 수 있다.

• The Korean Journal of Pain
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• 제27권1호
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• pp.54-62
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• 2014

Background: The recently known analgesic action mechanisms of nefopam (NFP) are similar to those of anticonvulsants and antidepressants in neuropathic pain treatment. It is difficult to prescribe high doses of oral neuropathic drugs without titration due to adverse effects. Unfortunately, there are few available intravenous analgesics for the immediate management of acute flare-ups of the chronic neuropathic pain. The aim of this study was to determine the additional analgesic effects for neuropathic pain of NFP and its adverse effects during the titration of oral medications for neuropathic pain among inpatients with postherpetic neuralgia (PHN). Methods: Eighty inpatients with PHN were randomly divided into either the NFP or normal saline (NS) groups. Each patient received a 3-day intravenous continuous infusion of either NFP with a consecutive dose reduction of 60, 40, and 20 mg/d, or NS simultaneously while dose titrations of oral medications for neuropathic pain gradually increased every 3 days. The efficacy of additional NFP was evaluated by using the neuropathic pain symptom inventory (NPSI) score for 12 days. Adverse effects were also recorded. Results: The median NPSI score was significantly lower in the NFP group from days 1 to 6 of hospitalization. The representative alleviating symptoms of pain after using NFP were both spontaneous and evoked neuropathic pain. Reported common adverse effects were nausea, dizziness, and somnolence, in order of frequency. Conclusions: An intravenous continuous infusion of NFP reduces spontaneous and evoked neuropathic pain with tolerable adverse effects during the titration of oral medications in inpatients with PHN.

• 디지털융복합연구
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• 제14권3호
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• pp.13-23
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• 2016

본 연구는 공중보건간호사제도가 국민보건향상이라는 목적에 부합하는 제도로 도입 될 수 있도록 의료서비스 제공자와 이용자를 대상으로 제도에 대한 인식을 살펴보고, 남자간호사 간호의 질 확인을 통해 공중보건간호사에게 요구되는 역량을 분석하기 위하여 서술적 조사를 실시한 융합연구이다. 최종 연구 참여 인원은 의료서비스 제공자(간호사, 의사, 물리치료사 등) 75명, 이용자(입원환자 또는 환자 보호자) 65명으로 총 140명이었다. 기술통계와 Chi-square, t-test로 통계분석 하였다. 연구결과 공중보건간호사제도 도입에 대하여 제공자 집단 77.3%와 이용자 집단 66.2%가 동의하였다. 공중보건의료인으로 가장 적합한 직종으로 제공자의 81.4%, 이용자의 70.8%가 간호사라고 답하였다. 공중보건간호사의 복무기간에 대한 견해에서 두 집단 간 차이가 있었다(t=7.56, p = .03). 공중보건간호사로서 필요한 간호역량에 대하여 제공자 집단과 이용자 집단 모두 간호전문성 개발 노력을 가장 중요시 하였다. 남자간호사 간호의 질 점수는 집단 간 차이는 없었으나 선행연구결과와 비교할 때 공중보건간호사로 배출될 남자간호사의 정신 사회적 간호, 의사소통 간호 확인을 위한 연구를 제언한다.

• 한국보건간호학회지
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• 제30권3호
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• pp.526-543
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• 2016

Purpose: The purpose of this study was to explore how public health nurses (PHNs) perceive their roles and duties (R&D), as well as to investigate the change of their R&D, how they manage and solve problems. Methods: The data were collected through focus group interviews. Data were analyzed using Morgan (1998) and Krueger (1998)'s four step analysis. A total of 17 experienced PHNs participated in this study. Results: The results found 5 themes and 19 sub-themes: R&D of health managers and health service providers, factors affecting the changes of PHN's R&D, R&D in adjusting with trends and expanding work field (R&D being reduced, increasing R&D, need to expand R&D), problem with the structure and quality of workforce (lack of nurse manpower, lack of promotion opportunities, increasing non-regular workers, lack of refinement as an expert), and strategies for solving personnel issues (strengthening the job capacity, cultivating professional refinement, strengthening outside activities and political activities, strengthening the roles of PHN-related associations and academy, engagement policy of non-regular workers, expansion of the activity area) Conclusion: PHNs need to recognize their changing R&D and ways they manage and solve problems to enhance their professionalism.