• Title/Summary/Keyword: Patient contact

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A Case of Vocal Cord Contact Granuloma Improved after Korean Medicine Treatment (한의 치료로 호전을 보인 성대 접촉성 육아종 치험 1례)

  • Jong-Chan Baek;Jong-Won Jung;Hyun-A Jung
    • The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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    • v.37 no.3
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    • pp.63-72
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    • 2024
  • Objectives : The purpose of this study is to report a case of a patient with vocal cord contact granuloma that showed improvement through Korean medicine treatment alone. Methods : This study was conducted on patient who has vocal cord contact granuloma for December 23, 2021 to July 30, 2022. The patient was treated with Korean medical treatment including acupuncture, herbal medicine and also corrected lifestyle habits. After treatment, we evaluated the patient's symptoms and used Farwell's grading system to evaluated the size of the granuloma. Results : The patient's symptoms significantly improved and the granuloma disappeared with treatment. Conclusions : It is considered that contact granuloma can be treated without side effects through Korean medical treatment.

A Clinical Case Report of Taeeumin Patient Diagnosed with Systemic Contact Dermatitis and Facial Flushing (전신성 접촉피부염과 안면홍조를 호소하는 태음인 환자 치험 1례)

  • Min-jung, Lee;Jiyeon, Lee;Min-woo, Hwang
    • Journal of Sasang Constitutional Medicine
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    • v.34 no.4
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    • pp.68-80
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    • 2022
  • Objectives This study is to report a significant improvement in a Taeeumin patient with systemic contact dermatitis after eating urushiol chicken by herbal medicine treatment. Methods The patient had complaints of erythema, swelling, pruritus, scaly skin, and facial flushing. We treated the patient with an herbal medicine 'Galgeunhaegi-tang' for three months. We evaluated the treatment outcome of systemic contact dermatitis using the Three Item Severity(TIS) score every visit and facial flushing by Image color summarizer at the first and last visit. Results After the treatment, the severity of the patient's skin complaints lessened from moderate to mild. The Image color summarizer showed a minor decrease in the normalized red color level and a significant increase in the brightness level and facial color percentage. Conclusions The patient diagnosed with systemic contact dermatitis, treated with Galgeunhaegi-tang for three months, showed a significant improvement in skin complaints with brighter and even facial color.

A Case Report of Contact Dermatitis on the Burn Lesion (화상 부위에 발생한 접촉피부염 치험 1례)

  • Hae-Na Kim;Hwa-Jung Yoon
    • The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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    • v.37 no.3
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    • pp.73-83
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    • 2024
  • Objectives : The purpose of this study is to report the case of contact dermatitis on the burn lesion treated with Korean medicine treatment including Bangpoongtongseongsan gagam, Jaeumganghwatang gagam and pharmacopuncture. Methods : A 28-year-old female patient had complaints of erythema, swelling, pruritus, exudate due to contact dermatitis caused by the band used to treat the left forearm burn lesion from February 10, 2024. The patient visited Dong-Eui Korean medicine university hospital on February 19, 2024, and we treated this patient with herbal medicine, pharmacopuncture, and western medicine. The effects of treatments were evaluated by photo comparision, visual analogue scale(VAS), dermatology life quality index(DLQI) and sleep disorder score. Results : After treatment, the patient's symptoms improved. VAS of pruritus was decreased from 9 to 0, DLQI was decreased 25 to 0 and sleep disorder score was decreased 7 to 0. Conclusions : The results suggest the Korean medicine treatment including herbal medicine and pharmacopuncture could be effective in treating patient with contact dermatitis.

EFECTS OF LATERAL GUIDANCE AND CHEWING PATTERN ON MASTICATORY MUSCLE ACTIVITY AND OCCLUSAL CONTACT (측방유도형태 및 저작습관이 저작근 활성도 및 교합접촉에 미치는 영향)

  • Koh, Joon-Won;Jung, Young-Wan;Cho, Hye-Won;Jin, Tae-Ho
    • The Journal of Korean Academy of Prosthodontics
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    • v.36 no.4
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    • pp.598-614
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    • 1998
  • This study was performed to investigate the influence of lateral guidance pattern and chewing pattern on masticatory muscle activity and occlusal contact pattern. Twenty-five patients with temporomandibular disorders and thirty students without temporomandibular disorders were selected for this study. Electromyographic examination and occlusal contact examination were performed simultaneously with Bio-Pak System (Bioresearch Inc.,U.S.A.) and T-Scan System(Tekscan Co., USA). The obtained results were as follows : 1. The EMG activity of masseter and anterior temporal muscle in patient group with canine guidance was higher than with non-canine guidance. but there was no significant difference (p>0.05). 2. The EMG activity of anterior temporal muscle in normal group with non-canine guidance was higher at preferred chewing side than at opposite side (p<0.05). 3. The EMG activity of masseter muscle was higher in normal group than in patient group (p<0.05). 4. The number of occlusal contact in patient group with canine guidance was higher than with non-canine guidance, but there was no significant difference (p>0.05). 5. The occlusal contact force at preferred chewing side was higher in patient group than in normal group(p<0.05).

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Effects of through the intercom during MRI Scans on Patient Anxiety and Intentional Contact (MRI 검사 시 방송을 통한 의도적 접촉이 환자 불안에 미치는 영향)

  • Kim, Sang-Jin
    • The Journal of the Korea Contents Association
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    • v.13 no.1
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    • pp.294-299
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    • 2013
  • This study has investigated the effect of intentional contact through the intercom during MRI scans on the decrease of anxiety in patients. The results obtained through the test group and control group are as follows. 1. The homogeneity of the anxiety score before the scan between the two groups was not acknowledged, hence a significant result could not be deduced. 2. Intentional contact through the intercom displayed decreasing results rational discomfort (t=-2.214, p=.031). 3. Intentional contact through the intercom displayed decreasing results of (t=-3.722, p=.000), and fear (t=-2.74, p=.009). 4. Intentional contact through the intercom displayed decreasing results of heart rate (t=-4.180, p=.000). In conclusion, the attempt to perform MRI scans with intentional contact through the intercom did not display significant effect on the blood pressure of the subject after the scan, however, displayed a decrease in objective and rational discomfort, as well as the heart rate, another vital sign. Accordingly, it is judged that intentional contact through the intercom can be used as an effective substitutive treatment method in patient care and test, as it relieves psychological tension in the patient and allows the patient to feel stability.

A comparative study of contact lens wearer with dry-eye patient on tear function tests (콘텐트렌즈 착용자와 건성안 환자의 눈물 검사에 대한 비교 연구)

  • Kim, Soon-Ae;Seo, Eun-Sun;Lee, Young-Hwan;Kim, Ja-Min
    • Journal of Korean Ophthalmic Optics Society
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    • v.9 no.2
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    • pp.301-312
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    • 2004
  • This study was performed to compare the relationship between contact lens wearer and dry-eye patient. In this study, TBUT, SIT, TTT, Rose bengal staining and McMonnies dry eye symptom questionnaire were performed as a baseline. With the base data, the subjects were classified to 3 groups : 3S patients who have dry eye signs and symptoms, 38 patients who are wearing soft contact tenses, 35 subjects who have health eyes and never worn on a contact lenses as control subjects. Contact lens wearers were divided into 3 groups according to the duration of contact lens wear. There were no significant differences in TBUT, STT, TTT, Rose-bengal staining and McMonnies dry eye symptom questionnaire result between contact lens wearer group and dry eye patients group. We suggest that there are similarities in tear function tests between the dry-eye patient and the contact lens wearer.

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A Study on the Effects of Maximum Voluntary Clenching on the Tooth Contact Points and Masticatory Muscle Activities in Patients with Temporomandibular Disorders (측두하악장애환자에 있어서 수의적 악물기시의 치아접촉점 및 저작근 활성에 관한 연구)

  • Jae-Kap Choi;Kyung-Soo Han
    • Journal of Oral Medicine and Pain
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    • v.15 no.1
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    • pp.105-115
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    • 1991
  • The purpose of the study was to evaluate the occlusal stability at the moment of dynamic occlusal tooth contact and to investigate the correlation between the occlusal stability and the masticatory muscle activities. It also evaluated the effect of short-term use of occlusal splints on the occlusal stability and the masticatory muscle activities in patients with temporomandibular disorders during maximum voluntary clenching by synchondronized with temporomandibular disorders during maximum voluntary clenching by synchronized use of the T-Scan system(Tekscan, Inc, USA) and K6-Diagnostic system(Myo-tronics Research, Inc, USA) The author measured its distance from retruded contact position(RCP) to intercuspal position(IP), average of contact intervals(ACI), total left-right statistics(TLR), average muscle activities of masseter and anterior temporal muscles during maximum voluntary clenching in 20 patients with temporomandibular disorders and 22 dental students as a control group. The data were compared between two groups and investigated for any correlations between the parameters. The results were as follows : 1. Both of the mean average of contact intervals and the mean absolute value of total left-right statistics during maximum voluntary clenching were increased in the patient group when compared with the control group. 2. Muscular disharmony of anterior temporal muscles of patient group is significantly greater than that of control group. However, muscular disharmony of masseter muscles of patient group is not significantly greater than that of control group. 3. There were significant correlations between muscular disharmony of anterior temporal muscles and average of contact intervals as well as total left-right statistics, and also between muscular disharmony of masseter muscles and total left-right statistics. 4. There were not any significant correlations between distance from RCP to IP and any other parameters. 5. There were a significant decrease in total left-right statistics and muscular disharmony of anterior temporal muscles during maximum voluntary clenching after a 1week use of occlusal splint in the patient group.

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Allergic Contact Dermatitis Treated by Sihogyeji-tang Based on Shanghanlun Provisions (『상한론(傷寒論)』 변병진단체계(辨病診斷體系)에 근거하여 시호계지탕(柴胡桂枝湯) 투여 후 호전된 알러지성 피부염 증례 1례)

  • Jeong, Jae-won;Lee, Sung-jun
    • 대한상한금궤의학회지
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    • v.13 no.1
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    • pp.121-132
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    • 2021
  • Objective: This study aimed to report the improvement in a patient with allergic contact dermatitis treated with Sihogyeji-tang based on the Shanghanlun disease pattern identification diagnostic system (DPIDS). Methods: According to the Shanghanlun DPIDS, the patient with allergic contact dermatitis was diagnosed with greater yang disease chest bind (Shanghanlun provision 146), and was administered Sihogyeji-tang for 90 days. The results were evaluated using the Dermatological Life Quality Index (DLQI) and a visual analog scale (VAS). Results: After taking Sihogyeji-tang for 90 days, the DLQI decreased from 28 points to 8 points and the VAS decreased from 10 points to 3 points. Conclusions: This case shows the potential of treatment through herbal medicine for allergic contact dermatitis using the Shanghanlun DPIDS.

Patient′s Preferances for Nurse′s Nonverbal Expressions of Warmth During Nursing Rounds and Administration of Oral Medication (간호회진과 경구투약시 환자가 선호하는 간호사의 비언어적 온정행위에 관한 연구)

  • 김형선;김문실
    • Journal of Korean Academy of Nursing
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    • v.20 no.3
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    • pp.381-398
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    • 1990
  • Nursing involves deep human interpersonal relationships between nurses and patients. But in modem Korea, the nurse - patient relationship tends to be ritualistic and mechanestic. Patients usually express the hope that nurses be more tender and kind. Patients expect nurses to express their warmth especially through nonverbal behaviour. This study was conducted to identify patients' preferences for nurse's nonverbal expressions of warmth. Through the confirmation of these preferences, nurses may learn how to enhance their interpersonal relationships with patients. Subjects for the study were 73 patients who had been admitted to a university teaching hospital for at least three days and agreed to be interviewed by the investigator. The interactions were studied nonverbal expressions of warmth during nursing rounds and administration of oral medication. The interview schedule was expecially designed by the investigator to measure the nurse's posture, the distance between the nurse and the patient, the nurse's eye contact, facial expression, hand motion and head nodding. Data analysis included frequencies, percentages and X²-test. The results of this study may be summerized as follows : 1. Patient's preferences for nurse's nonverbal expressions of warmth during nursing rounds. Preferred nurse's posture was sitting(50.7%) or standing(49.3%) opposite the patient. Preferred distance between the nurse and the patient was close to the bed(93.2%), less than 1m. Preferred eye contact was directed to the patient's eyes or their affected part (41.1%). Preferred facial expression was a smile(97.3%). Preferred hand motions were light gestures(41.1%). Patients preferred head nodding which approved their own opinions(69.9%). 2. Patient's preferences for nurse's nonverval expressions of warmth during administration of oral medication. Preferred nurse's posture was standing and waiting to confirm that the medication had been taken(58.9%). Preferred distance from the patient was at arm's length, 0.5-1m(64.4%). Patients preferred direct eye contact(58.9%) and a smile(94.5%). Patients preferred that the nurse put the medicine directly the patient's hand(64.4%). Whether the nurse nodded her head or not was not considered important. 3. The relation of general characteristics and patient's preferences for nurse's nonverbal expressions of warmth during nursing rounds and administration of oral medication. During nursing rounds, the age of subjects(p=0.010) and the standard of education(p=0.026) related to the distance between the nurse and the patient. The sick hospital ward related to the eye contact(p=0.017) and facial expression(p=0.010). During administration of oral medication, the age of subjects(p=0.044) and days of hospital treatment (p=0.043) and the sick hospital ward(p=0.0004) related to the facial expression. From this study, nurses can learn what kind nonverbal expressions of warmth are preferred by patients during rounds and administration and thus will enhance nurse- patient interpersonal relationships.

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Effects of Simulation Based Education Using Standardized Patient for Contact Precaution Infection Control for Nursing Students (표준화 환자를 활용한 접촉주의 환자 간호 시뮬레이션 교육의 효과)

  • Ji, Eun Joo;Seo, Hyung Eun
    • Journal of Convergence for Information Technology
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    • v.10 no.11
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    • pp.87-97
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    • 2020
  • The purpose of this study was to investigate effect of simulation based education using standardized patient for contact precaution infection control for nursing student. This study was conducted by including 67 nursing student A university from October to December 2019. This study was mixed method research design. Knowledge and performance confidence related to multidrug resistant organism(MDRO) infection control were measured using questionnaires pre and post test, analyzed using paired t-test and reflection sheet was analyzed using content analysis method. After intervention, two variables were increased significantly. Results of the content analysis showed there were 39 significant statements, which were classified into 13 categories. These results suggest that education on simulation program using standardized patient for contact precaution infection control is effective strategy to enhance knowledge and performance confidence related to MDRO infection control and practical nursing infection control skill, patient centered care, interprofessional collaboration.