• Title/Summary/Keyword: Patient's Severity

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Two Patients with Dysphagia after Stroke who were Treated with Pyungwesan and Bowhawhan (평위산(平胃散)과 보화환(保和丸)으로 호전된 연하장애 환자 2례)

  • Kim, Dong woo;Oh, Jung-hwan;Kim, Bong-seok;Lim, Hee-yong;Choi, Bin-hye;Heo, Jin-il;Byeon, Jun-seok;Kim, Dae-jun
    • The Journal of the Society of Stroke on Korean Medicine
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    • v.6 no.1
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    • pp.55-62
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    • 2005
  • Dysphagia is an important complication for the rehabilitative treatment and life quality of stroke patients. This report is about two patients with dysphagia after stroke who were treated with Pyungwesan and Bowhawhan. The severity of the patient's dysphagia was evaluated with stage of dysphagia according to severity. After treatment, dysphagia were remarkably improved(from stage 5 to 2, 5 to 1). This result shows that Pyungwesan and Bowhawhan could be effective against dysphagia after stroke.

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Two Cases of Soyangin Dermatitis Patients Treated with Yangkyuksanhwa-tang (양격산화탕(凉膈散火湯)을 이용한 소양인 피부염 환자 치험 2례)

  • Bae, Jeong-Gyu;Lee, Han-Eol;Ahn, Taek-Won
    • Journal of Sasang Constitutional Medicine
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    • v.21 no.3
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    • pp.193-201
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    • 2009
  • 1. Objectives: The purpose of this study is to evaluate the effects of Yangkyuksanhwa-tang which is based on sasang constitutional medicine for dermatitis as psoriasis, atopic dermatitis. 2. Methods: This two patients were treated by Soyangin's constitutional medications according to the result of sasang constitutional diagnosis. We evaluated the severity in dermatitis that two methods ; doctor's view and patient's subjective itching. 3. Results & Conclusoins: This cases study shows an efficent result of using Yangkyuksanhwa-tang in treatment of dermatitis as psoriasis, atopic dermatitis.

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Five Cases of Severe Alopecia Areata Treated with Gagamhwajung-hwan (가감화중환으로 호전된 중증 원형탈모 치험 5례)

  • Choi, Seung-Bum;Kang, Jeong-A;Lee, Jung-Hwan
    • The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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    • v.30 no.3
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    • pp.239-249
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    • 2017
  • Objectives : The purpose of this study is to report the effectiveness of Gagamhwajung-hwan in five severe alopecia areata patients. Methods : This case study was conducted for five severe alopecia areata patients who visited Korean Medicine Clinic. Herbal medicine(Gagamhwajung-hwan) was prescribed to all five patients. Improvements of patients were evaluated by photographs and SALT(Severity of alopecia tool) scale. Results : According to photographs, hair loss of each patient was completely improved. SALT scale was also decreased in all five patients. Conclusions : This study shows the possibility of using Gagamhwajung-hwan to treat severe alopecia areata.

Case Reports on Two Motor Tic Disorders and a Tourette's Disorder Managed by Yin-yang Balancing Therapy of the Temporomandibular Joint (턱관절음양균형요법에 의한 운동틱과 뚜렛장애 치료 보고)

  • Chae, Ki Heon
    • Journal of TMJ Balancing Medicine
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    • v.11 no.1
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    • pp.25-36
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    • 2021
  • It was observed that the effectiveness of Yin-yang balancing therapy of the tempromandibular joint (YBT) or functional cerebrospinal therapy (FCS) in three cases: an acute and a chronic motor tic disorder and a Tourrette's disorder (TD). These three cases were mainly managed with cervical balancing appliance for the Yin-yang Balancing on tempromandibular joint (TMJ) and pelvic balance therapy. They were treated concurrently with acupuncture, cupping and herb-medicine. Clinical outcome measurement was based on subjective measures with visual analogue scale (VAS), Yale Global Tic Severity Scale (YGTTS) and clinical observations for 235, 279 and 273 days respectively. The patient showed positive changes after the treatment and this effect maintained over the follow-up period. Although it is not clear whether the effect is sustained afterwards or not, a positive effect on the motor tic disorders and TD was observed. And so, furthermore strict clinical and structural researches for verification on YBT is expected.

A Case of the Advanced Non-Small Cell Lung Cancer Patient Who Showed Symptoms Improvement (항암치료 시 지속된 증상의 호전을 보인 태음인 폐암환자 치험 1례)

  • Park, So-Ra;Lee, Soo-Min;Lee, Soo-Kyung
    • Journal of Sasang Constitutional Medicine
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    • v.27 no.3
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    • pp.326-332
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    • 2015
  • Objectives The quality of life in cancer patients is important. The aim of this study is to report a case which showed symptoms improvement after treatment with modified Galgeunhaegi-tang. Methods We retrospectively reviewed the medical records. The patient's body weight and the circumference of lower extremity were measured and the subjective symptoms such as chest pain were evaluated by the NRS(Numeric Rating Scale). And the frequency of defecation was checked daily. Results The patient had received chemotherapy from March to November 2014 for 8th times. During the chemotherapy, the patient developed symptoms such as weight gain, edema of lower extremity, chest pain, headache, low back pain, and constipation. But additional evaluation and management with western medicine couldn't solve the problem. So he started to take Korean medicine. And he was transferred to our cancer center to keep continuing the treatment. After the treatment, the body weight, the lower extremity circumference and the subjective severity of chest pain, headache, low back pain were all decreased. During hospitalization at our center, the patient didn't suffer from constipation. Conclusions An elderly non-small cell lung cancer patient showed the improvement of symptoms that were continued during chemotherapy. As we can see in this case, Korean medicine can be a solution of the symptoms induced by chemotherapy, if there is no symptom improvement with western medicine.

Analysis of hematological changes in normal and diarrhea calves

  • Song, Ru-hui;Kang, Jin-hee;Park, Kwang-man;Youm, Jung-ho;Park, Jin-ho
    • Korean Journal of Veterinary Service
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    • v.43 no.3
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    • pp.161-165
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    • 2020
  • In order to effective treats a sick calf, it is necessary to obtain accurate information about the patient's condition. However, the standard references for Korean cattle claves are not well known. Therefore, this study aims to present useful clinical values by analyzing normal blood and diarrhea blood of Hanwoo calf. Recently, with the advent of a portable blood analyzer, it is possible to immediately analyze the patient's condition and severity in the field, not in the laboratory, and to calculate a suitable dosage for supporting fluid therapy. Therefore, in this study, the distribution of red blood cells (RBC) and white blood cells (WBC) were analyzed in normal and diarrhea Hanwoo calves. As a result, Hematocrit (HCT) levels increase significantly between 1 and 20 days in diarrhea positive calves. Changes in leukocyte composition had similar growth patterns in normal and diarrhea calves. As it grew, the proportion of neutrophils decreased and lymphocytes increased. However, the number of WBCs increased from 1 to 10 and 21 to 30 days in diarrhea positive calves, which is closely related to the increase in neutrophils. Therefore, those data can be used for diagnosis and treatment of diarrhea calf.

Factors affecting the attitude toward withdrawal of life-sustaining treatment of nurses working at long-term care hospitals (요양병원 간호사의 연명치료중단에 대한 태도에 미치는 영향 요인)

  • Kim, Mi Sook
    • The Journal of Korean Academic Society of Nursing Education
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    • v.26 no.4
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    • pp.383-392
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    • 2020
  • Purpose: This study was a descriptive study to identify factors affecting the attitude toward life-sustaining treatment of nurses working at long-term care hospitals. Methods: Data were collected through structured questionnaires from August 2nd to 27th, 2019. Study participants consisted of 163 nurses who were working for at least 6 months from 7 long-term care hospitals in B and K city. Data were analyzed using t-test, ANOVA, Scheffe' test, Pearson's correlation coefficients, and hierarchical regression with SPSS WIN v 21.0. Results: There were significantly positive correlations between awareness of good death (r=.46, p<.001) and perception of patients' rights (r=.32, p<.001). The factors affecting participants' attitude toward life-sustaining treatment were awareness of good death (β=.35, p<.001) and their own view of death (β=.24, p=.001), which explained about 27.0% of the attitude toward life-sustaining treatment. Conclusion: Based on these results, it is necessary to develop nursing educational materials that can establish values for deaths, and cultivate legal and ethical knowledge related to attitude toward life-sustaining treatment. In addition, since the severity of a patient's condition varies and the characteristics of the institution vary depending on the type of hospital, a study is needed on the relevance of variables considering the hospital environment.

Influential processes for the acceptance of protectors toward emergency care for patient based on an elaboration likelihood model (보호자의 응급처치 수용의도에 관한 연구: 정교화 가능성 모델 중심)

  • Hwang, Ji-Young;Kim, Yun-Kwon;Kim, Ki-Young
    • The Korean Journal of Emergency Medical Services
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    • v.19 no.3
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    • pp.51-68
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    • 2015
  • Purpose: This study validated the influential relations between the effects of emergency care quality, credibility of 119 emergency medical technicians (119 EMTs), and perceived usefulness and attitude of emergency care, focusing on the moderating effect of protectors' characteristics (education, experience, age, and recognition of patient severity). Methods: This study was based on elaboration likelihood and technology acceptance models. In total, 172 protectors with experience in utilizing prehospital service were surveyed from April 1 to July 31, 2011. Results: The results showed that the emergency care quality and the credibility of 119 EMTs were the main determinants of the perceived usefulness and attitude of emergency care, irrespective of the protector's characteristics (p <.001). In addition, the findings showed that the protector's intention of emergency care had a moderating role. The impact of the quality of emergency care on its perceived usefulness was greater for high-level protectors (p <.001). By contrast, the impact of the credibility of 119 EMTs on the perceived usefulness of emergency care was greater for low-level protectors (p <.001). Conclusion: The protectors' characteristics have different influences on the relations between the effects of emergency care quality, the 119 EMT credibility, and the perceived usefulness and attitude of emergency care.

The Relationships among Self-Care Agency, Family Support, Quality of Life in Patients with Rheumatoid Arthritis (류마티스 관절염 환자의 자가간호역량과 가족지지, 삶의 질과의 관계)

  • Park, Sang-Youn;Nam, Young-Wha;Baek, Mvung-Wha
    • Journal of muscle and joint health
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    • v.7 no.2
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    • pp.281-293
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    • 2000
  • This study was conducted to identify the relationships among self-care agency, family support, qualify of life in patients with rheumatoid arthritis. The subjects were 120 rheumatoid arthritis patients who attended RA O.P.D. at a university hospital, located in Daegu city, from 10th of May in 1998 to 30th of July in 1998. Three structure questionnaires were administered for explore three main research variables; 소향숙's self-care agency scale, 강현숙's family support scale, and 김종임's quality of life scale of RA patien. Data analysis was conducted with SPSS program including percentage, mean, standard deviation, mean score, Pearson Correlation Coefficient, multiple regression, and Cronbach's Alpha. Results are summarized as follows; 1. The mean of RA patient's self-care agency was 136.62, the mean of family support 37.38, and the mean of qualify of life 134.41. 2. Subject's self-care agency was positively correlated with family support(r=.2446) and with quality of life(r=.4341). Subject's family support was positively correlated with quality of life(r=.2630). 3. Stepwise multiple regression was used to determine the predictors of subject's quality of life. Significant predictors for subject's quality of life were self-care agency(t=4.873 p=0.0000), family support(t=4.480 p=0.0000) and the severity of arthralgia(t=-3.838, p=0.0002). The number of joints involved and the periods of illness did not show significant contribution to subject's quality of life. Self-care agency, family support, and family support explained 40. 39% of the variance in RA patient's quality of life. Given this results, it is suggested that a repeated study to measure RA patient's self-care practice in their own life may be needed to develope and validate an optimum level of nursing intervention for RA patient with which family support will be encouraged and patient's self-care agency will be facilitated.

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A Study on Liver Cirrhosis Patients행 Sick Role Behavior (간경변증환자의 환자역할행위에 관한 연구)

  • 김옥수
    • Journal of Korean Academy of Nursing
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    • v.15 no.1
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    • pp.30-43
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    • 1985
  • Liver cirrhosis is the common cause of death in Korea today. But, if liver cirrhosis Patients were treated in the early stage of the disease Process, they can have a chance to carry their daily lives with prescribed medical and nursing regimens. Each patient has different health beliefs that there is a different Sick Role Behavior in the process of treatment. In order to increase and control the desired patient's Sick Role Behavior, it is important for nurses to understand the health beliefs influencing Sick Role Behavior. The purpose of this study was to determine factors influencing Sick Role Behavior and provide objective and scientific data to health education, treatment and nursing care. The subjects for this study were 80 Liver Cirrhosis patients selected from in and out patients of the medical department of four University Hospitals in Seoul, Won Joo and Mok Po city. Data was collected from Sep. 18, to Oct. 15, 1984. The measurement tool was the questionaire that developed by the investigator from the literature review based on Health Belief Model. The data Collection was done by interview. Analysis of data was done by use Mean, S.D., ANOVA, Pearson Correlation Coefficient and Stepwise Multiple Regression. The result of study were as follows: 1. The significant influencing variables on the Liver Cirrhosis Patient's Sick Role Behavior in general characteristics were Sex, Marital Status, Educational levels, Family's income and Duration after diagnosis. 2. Between the Sick Role Behavior and Health Belief Model, a) The first hypothesis that the stronger degree of Health Motivation, the higher degree of Liver Cirrhosis Patient's Sick Hole Behavior was supported (r=0.7892, p=0.0000). b) The second hypothesis that the higher degree of perceived susceptibility, the higher degree of Liver Cirrhosis Patients' Sick Role Behavior was supported (r=0.6383, p=0.0000) c) The third hypothesis that the higher degree of perceived severity, the higher degree of Liver Cirrhosis Patients' Sick Role Behavior was supported (r=0.5869, p=0.0000). d) The fourth hypothesis that the higher degree of perceived benefit, the higher degree of Liver Cirrhosis patient's Sick Role Behavior was supported (r=0.7535, p=0.0000). e) The fifth hypothesis that the lower degree of perceived barrier, the higher degree of Liver Cirrhosis Patient's Sick Role Behavior was supported(r=-9.7709, p=0.0000) f) The sixth hypothesis that the higher degree of knowledge in Disease, the higher degree of Liver Cirrhosis patients'lck Role Behavior was supported (r=0.7538, p=0.0000), g) In the correlation among variables, it was found positive correlation except that perceived barrier was negatively correlated. In the Stepwise Multiple Regression and Independent Variables, the factor“Health Motivation”could account for Sick Role Behavior in 62.28% of the Sample (F=128. 786, p<0.01). When the factor“perceived barrier”is added to this, it account for 70.38% of Sick Role Behavior (F=93.479, p <0.01) and the factor“knowledge in disease”is also included, it account for 74.78% of Sick Role Behavior (F=75.131, p <0.01). Finally, when the factor“perceived susceptibility”is included, it account for 75.03% of Sick Role Behavior (F=56.329, p <0.01).

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