• Title/Summary/Keyword: Spasm

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A study of methods for Oriental.Western medical approach of Child Neuropsychiatric Disorders (소아신경정신 질환의 한.양방적 접근 방법론 연구)

  • Kim, Geun-Woo
    • Journal of Oriental Neuropsychiatry
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    • v.14 no.2
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    • pp.15-25
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    • 2003
  • Objectives : This study aimed investigation of clinical development to child neuropsychiatry through the oriental western medical approach of child neuropsychiatric disorders Methods : As DSM-IV and ICD-10 set a standard for clinical expression. According to this standard and oriental medical diseases, child neuropsychiatric disorders are divided into six symptoms Results and Conclusion : 1. View point of oriental medicine, Psycho Somatic stroke(inclusive of the spasm) place under the category 'Epilepsy(癎)', 'Children's fit(驚風)' and 'Chi-Kyeung(?痙)'. 2. View point of oriental medicine, Mental Retardation place under the category 'Dementia(?)', 'Amnesia(健忘)' and 'Speech Disorder(語遲)' 3. View point of oriental medicine, Emotional Disorder place under the category 'Adjustment Disorder(客?)', 'Cry with anxiety at night(夜啼症)', 'Gi-Byung(?病)' and 'Child depressive Disorder(小兒癲症)' 4. View point of oriental medicine, Conduct development Disorder place under the category 'Physical frail of five part(五軟)' and 'Physical stiff of five part(五硬)'. 5. View point of oriental medicine, Childhood Psychosis place under the category 'Insanity(癲狂)'. 6. View point of oriental medicine, Somatoform Disorder place under the category 'Palpitation of the heart(驚悸)', 'Vomiting and Diarrhea(吐瀉)', 'Asthma(喘)', 'Headache(頭痛)' and 'Enuresis(遺尿)'

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Mass mortality of Clostridium perfringens infection in Hanwoo (Clostridium perfringens 감염에 의한 한우 집단 폐사 증례)

  • Lee, Joung-Won;Kim, Ji-Young;Kwak, Kil-Han;Yuk, Hyun-Su;Shon, Ku-Rye;Koh, Won-Seuk
    • Korean Journal of Veterinary Service
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    • v.34 no.1
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    • pp.31-35
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    • 2011
  • This is a case report that 24 heads of cattle suddenly died without clinical signs in a Hanwoo farm. The cause of death was Clostridium perfringens enterotoxemia resulted from them with feeding leftover food. The clinical signs were observed just before the death; increase of heart rate, shallow and rapid respiration, amyostasia, spasm and so forth. In autopsy, blood coagulation disorder, a little abdominal inflation, hepatomegaly and different size of red spots, congestion hemorrhage and undercurrent of bloody exudation were observed in the entire parts of small and large intestines. C. perfringens were isolated from the substantive organs, and a unique fragment of 405bp C. perfringens was amplified by PCR. Therefore, this case was diagnosed as enterotoxemia caused by ${\alpha}$-toxin of C. perfringens A type.

Role of Catheter Imaging with $^{99m}Tc$-Macroaggregated Albumin in Intraarterial Chemotherapy (동맥내 항암제투여에 있어 $^{99m}Tc$-Macroaggregated Albumin 도관스캔의 역할)

  • Kim, Byung-Tae
    • The Korean Journal of Nuclear Medicine
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    • v.27 no.1
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    • pp.18-21
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    • 1993
  • 이상에서 $^{99m}Tc$-MAA 도관스캔을 고찰하여 보면 다음과 같이 요약할 수 있다. 1) $^{99m}Tc$-MAA 도관스캔은 반복 시행할 수 있고, 그 방법이 간단하나 도관의 위치를 알아내는데 매우 정확하다. 2) 방사선학적 방법인 혈관조영술은 조영제 주입시 실제 항암제를 주입하는 속도보다 매우 빠르게 주입하므로써 야기될 수 있는 동맥의 연축(spasm), 층류 등의 원인에 의하여 항암제를 주입할 때와 다른 양상을 보여 암종의 헐류분포나 주변의 다른동맥으로 항암제가 주입 되는지의 여부를 정확히 알 수 없는 반면, $^{99m}Tc$-MAA 도관스캔은 항암제 주입속도와 동일하게 주입하므로써 보다 정확하게 암종의 혈류분포나 부작용을 예측할 수 있다. 3) 골반내 종양의 경우와 같이 도관을 양측의 동맥에 삽입하여야 하는 경우에는 암종에 대한 각 동맥으로부터의 혈류분포를 비교하여 항암제의 투여량을 변화시키므로써 치료효과의 상승과부작용의 감소를 꾀할 수 있다. 나아가서 둔부동맥으로의 혈류가 많은 경우에는 둔부동맥을 색전화하여 부작용을 극소화할 수도 있다. 4) 여러 종류의 종양, 특히 간종양의 경우에는 폐의 방사능섭취를 측정하여 종양내 동정맥단락을 정량화 할 수 있어 치료후 그 변화를 관찰하여 치료효과를 추측할 수도 있다.

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The Investigation of effect of Physical Therapy for Delayed Onset Muscle soreness according to difference of experimental designs (실험방법의 차이에 따른 지연 발생 근육통의 물리치료 효과에 대한 연구)

  • Chae Yun-Won;Nam Ki-Seok;Choi Jin-Ho;HwangBo Gak;Kim Jin-Sang
    • The Journal of Korean Physical Therapy
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    • v.11 no.3
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    • pp.37-44
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    • 1999
  • Delayed onset muscle soreness is a sensation of discomfort that occurs 24h after exercise, and it is associated with the performance of unfamiliar and high force muscle wor, such as eccentric contractions. The injury to the muscle has been well described but the mechanism underlying the injury is not fully understood. Although the pathophysiological processes underlying delayed onset muscle soreness are not completely understood, many researchers have investigated various treatments in a attempt to reduce the soreness. These treatments have focused on reducing the inflammation, or edema, consequent to tissue damage, and breaking up the cycle which is thought provoke tonic muscle spasm or pain. Physical therapy is the most importance thechniques to reduce delayed onset muscle soreness. Physical therapy on delayed onset muscle soreness includes massage, exercise, therapeutic ultrasound, TENS, stretching and cryotherapy, this investigation should encourage physical therapists to experiment further with various techniques to reduce delayed onset muscle soreness.

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Transient Global Aphasia with Hemiparesis Following Cerebral Angiography : Relationship to Blood Brain Barrier Disruption

  • Kim, Dong-Ha;Choi, Chang-Hwa;Lee, Jung-Hwan;Lee, Jae-Il
    • Journal of Korean Neurosurgical Society
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    • v.48 no.6
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    • pp.524-527
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    • 2010
  • Temporary disruption of the blood-brain barrier (BBB) after cerebral angiography is presumably caused by nonionic radiographic contrast medium (CM). We hereby report a case of 58-year-old woman who developed decreased mentality, global aphasia and aggravated right hemiparesis after cerebral angiography. Brain CT examination demonstrated gyriform enhancement throughout the left cerebral cortex and thalamus. MR diffusion did not reveal acute infarction. MR angiography did not show any stenosis, spasm or occlusion at the major cerebral vessels. Follow-up CT scan after 1 day did not show any gyriform enhancement. Worsened neurologic signs and symptoms were improved completely after 7 days. In the present study, disruption of the BBB with contrast medium after angiography seems to be the causative factor of transient neurologic deterioration.

The Clinical Observation on 1 Case of Alopecia Areata Following Whiplash Injury (편타성 손상 후 발생한 원형탈모증 임상치험 1례)

  • Hwang, Jong-soon;Lee, A-ram;Lim, Dae-jung;Cho, Hyun-seok;Kim, Kyung-ho;Kim, Gab-sung
    • The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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    • v.17 no.3
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    • pp.138-145
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    • 2004
  • The clinical features and therapeutic results of alopecia areata are variable and unpredictable. For example, genetic, psychic, immunologic factors are regarded as the reason of alopecia areata. For the relationship between alopecia and whiplash injury, Dr. Guun explained that whiplash injury by the traffic accident produces cervical muscle spasm, and it makes autonomic nerve change. The tropical changes accompanied with ischemic change of scalp vessels made by this mechanism cause alopecia areata. And Yesudian reported the case of scalp alopecia as the result of ischemic change following traffic accident. We have experienced a 25-year-old woman with Alopecia areata following whiplash injury by traffic accident, and who had no risk factor of it. The patient was treated by acupuncture and physical treatment. Her hair loss, cervical angle and pain were improved through acupuncture treatment. This case of alopecia areata following whiplash injury is uncommon, so we report the mechanism of it, but should collect more cases and observations.

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A Clinical Survey of Patients of Neuro-Pain Clinic 1 Year Period (신경통증클리닉 환자의 1년간 통계 고찰)

  • Yang, Seung-Kon;Lee, Seong-Yeon;Chae, Dong-Huhn;Chae, Hyun;Lee, Kyung-Jin;Kim, Chan
    • The Korean Journal of Pain
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    • v.8 no.2
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    • pp.304-307
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    • 1995
  • 1,666 patients treated by nerve block from September 1994 to August 1995 we statistically analyzed according to sex, age, diseases, and kinds of nerve blocks. Most patients were in the range from 30 to 60 year old, with a distribution of 43.9% male and 56.1% female. Diseases and ailments were as follows: low back pain 30.6%, frozen shoulder 14.0%, facial spasm 10.0%, cervical syndrome 9.7%, headache 7.3%, and hyperhidrosis 7.2%. Most common nerve blocks were stellate ganglion block 30.9%, epidural block 25.6%, trigger point injection 16.1%, and suprascapular nerve block 6.7%. Nerve blocks under fluoroscopic guide were as follows: facet joint block 28.6%, spinal root block 22.9%, thoracic sympathetic ganglion block 21.7%, and lumbar sympathetic ganglion block 15.4%.

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Anaphylactic Shock Care during General Anesthesia -A Case Report- (전신마취 도중 유발된 아나필락시스 -증례보고-)

  • Choi, Byung-Ho;Sul, Sung-Han;Yoo, Jae-Ha
    • Journal of The Korean Dental Society of Anesthesiology
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    • v.6 no.2 s.11
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    • pp.121-126
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    • 2006
  • Generalized anaphylaxis is a most dramatic and acutely life-threatening allergic reaction. Most fatalities from anaphylaxis occur within the first 30 minutes postantigenic exposure. The mechanism of generalized anaphylaxis is the reaction of IgE antibodies to an allergen that causes the release of histamine, bradykinin, and others. These chemical mediators cause the contraction of smooth muscles of the respiratory and intestinal tracts, as well as increased vascular permeability. Four major clinical symptoms are recognized: skin reactions, smooth muscle spasm (gastrointestinal and genitourinary tracts and respiratory smooth muscle), respiratory distress, and cardiovascular collapse. Epinephrine is the drug of choice for the management. Its syrnpathomimetic effects directly counteract most aspects of the attack. Respiration must be immediately supported by the establishment of a patent airway along with artificial ventilation. The circulation should be supported and the existing hypotension overcome by placing the victim in a position to allow gravity to aid venous return and by administering intravenous fluids, vasopressors, and corticosteroids. When an imperceptible pulse is evident, external cardiac compression must also be instituted. This is a case report of anaphylactic shock care during general anesthesia, possibly due to penicillin, pancuronium and others.

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The literary review on the Treatment of Pressure Sore (褥瘡의 治療에 관한 문헌적 고찰)

  • Song, Jae-chul;Chung, Seok-hee;Lee, Jong-soo;Shin, Hyun-dae;Kim, Sung-soo
    • The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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    • v.13 no.1
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    • pp.237-252
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    • 2000
  • Pressure sore is an area of ulceration and necrosis of the skin and underlying tissues usually occuring over the bony prominences of the body after prolonged or often repeated pressure. We reviewed and summarized the published articles and treatise on the treatment of pressure sore. The results were as follows : 1. Pressure sore occur due to prolonged or often repeated pressure. So it is better than decubitus ulcer that is called pressure sore. 2. The most common lesions of pressure sore are sacrum, ischial tuberosity, greater trochanter. 3. The cause of pressure sore are change of comprehension. urine, moisture, change of the ability of activity and exercise, shearing force. 4. The elements to influence on wound healing are collagen accumulation velocity, nutrition condition, Vitamine C, copper, iron. oxygen pressure, steroids, cell-toxic drug, radiation. 5. Non-operative treatments are managements of skin such as avoiding consistant pressure, dressing, preventing moisture, understanding patient and protecter, preventing spasm, improvement of systemic nutrition condition. 6. Operative treatements are debridement, suture, skin transplantation, muscle flap and musculaocutaneous flap surgery. Recently V-${\Gammer}$ advancement surgery in use of muscle and musculocutaneous flap is generally maded. 7. Complications of post-operation are wound rupture, infection, disappearance of transmitted skin, necrosis of flaps.

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Pain and Muscle Elasticity for Deficiency-Excessiveness Discussed by the View of Oriental and Western Medicine (경근(頸筋)의 동통(疼痛) 및 근(筋) 탄력상태(彈力狀態)에 대한 허실(虛實)의 동서의학적 고찰)

  • Lee Dong-Kyu;Seo Hyung-Joo;Na Chang-Su
    • Korean Journal of Acupuncture
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    • v.17 no.1
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    • pp.141-156
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    • 2000
  • Prognosis in oriental medicine gathers information by four examination methods. It provides important information to understand the degree of deficiency - excessiveness of a patient to treat properly. To generalize the degree of deficiency - excessiveness can be found by seeing the patient's muscle response and pain perception to the palpitations.The theoretical basis to generalize deficiency - excessiveness, oriental and western medical understanding of pain perception and the elasticity of muscle were discussed.The usual symptoms for the excessiveness could include Pain (dislikeness to the palpitation), Stiffness of nape and limbs, Contracture of the limbs, Clonic convulsion and Fast pain. The symptoms for the deficiency could include Pain (likeness to the palpitation, Gastrocnemius muscle spasm, Flaccid paralysis of limbs and Slow pain. More theoretical bases for generalization of deficiency - excessiveness are needed along with the simplifying the complex clinical symptoms. In this way, we can discuss about deficiency - excessiveness with the regard to western medicine to help its generalization.

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