• Title/Summary/Keyword: a case report

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Evaluation of the Quality of Case Reports in Journal of Oriental Neuropsychiatry Using CARES Guideline (CARES 지침에 따른 동의신경정신과학회지의 증례보고에 대한 질 평가 연구)

  • Lee, Hwan Seong;Lee, Junyeop;Han, Ji Han;Chae, Han
    • Journal of Oriental Neuropsychiatry
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    • v.30 no.2
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    • pp.59-69
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    • 2019
  • Objectives: Case report is a description of medical experience that contains a patient's information and treatments. It has been used to determine the effectiveness and side effect of the treatments. Case report can be used for medical, scientific, or educational purposes. The objective of this study was to evaluate the quality of case reports published in Journal of Oriental Neuropsychiatry from 2013 to 2017 using CARE and CARES guideline. Methods: Case reports were selected from Journal of Oriental Neuropsychiatry and their quality assessed using CARE guideline and CARES guideline. The items of CARE and CARES guideline were assessed as 'Sufficient', 'Not sufficient', 'Not reported', 'Not applicable'. The outcome was analyzed using case reports and items. Results: 26 case reports were selected. For CARE guideline, 'Sufficient' percentage was min at 22.2%, max at 46.4% with a median of 39.3%. Sum of 'Sufficient', 'Not sufficient' percentage was min at 59.3%, max at 85.7% with a median of 75.0%. Items 'Timeline', 'Diagnostic assessment', 'Follow up and outcomes', 'Informed consent' were not reported in more than 50% of all case reports. Items 'Keywords', 'Abstract', 'Introduction', 'patient information', 'Diagnostic assessment', 'Therapeutic interventions', 'Follow up and outcomes' were not sufficiently reported in more than 50% of all case reports. For CARES guideline, 'Sufficient' percentage was min at 0%, max at 50% with a median of 0%. Sum of 'Sufficient', 'Not sufficient' percentage was min at 33.3%, max at 100% with a median of 92.9%. Items of herbal prescription 'herb', 'decoction', 'use', items of acupuncture treatment 'materials', 'techniques', items of moxibustion treatment 'materials', 'techniques' were not sufficiently reported in more than 50% of all case reports. Conclusions: The reporting rate of items was good. But the quality of reporting was low. Also, particular items were not reported frequently. Therefore, there is a need to improve the quality of case reports in Journal of Oriental Neuropsychiatry.

Bechet`s Disease with Multiple Aterial Abeurysm; A Case Report (Bechet`s disease에 동반된 다발성 동맥류;1례 보고)

  • 조재호
    • Journal of Chest Surgery
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    • v.26 no.4
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    • pp.316-319
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    • 1993
  • Although Behcet`s disease, characterized by oro-genital ulceration and ocular abnormalities, is rare and unfamiliar disease to thoracic surgeon, one must remember that it can cause serious complications on the vascular system such as thrombophlebitis,thrombotic obstuction and aneurysm.We report a case of multiple arterial aneurysms with Behcet`s disease. This 31 year-old female had five times surgical interventions during short period[19 months]. 6 aneurysms were developed in this case, 3 were spontaneous aneurysms, 2 were anastomotic aneurysms and 1 was false aneurysm due to arterial puncture.

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Cavernous Hemangioma of the Cauda Equina - A Case Report - (마미총에 발생한 해면상 혈관종 - 증례보고 -)

  • Kim, Keun Su;Ahn, Byeong Jo;Han, Dong Han
    • Journal of Korean Neurosurgical Society
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    • v.30 no.5
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    • pp.662-665
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    • 2001
  • Spinal cavernous hemangiomas of the cauda equina are extremely rare vascular malformations. We report a case of intradural extramedullary cavernous hemangioma of the cauda equina with it's clinical, radiologic and surgical findings. This is the twelveth case of cavernous hemangioma of the cauda equina in the literature. The pertinent literatures are reviewed.

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Cavernous Hemangioma: one case report (해면양 임파관종 치험 1예)

  • 성시찬
    • Journal of Chest Surgery
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    • v.12 no.4
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    • pp.379-382
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    • 1979
  • Cavernous lymphangioma is a benign tumor of lymphatic origin encountering most frequently in young children, and composed of softly fluctuated monolocular or multilocular cystic masses which developed from embryonic outpouching of the venous system. The prevailing site of this tumor Is at the anterolateral neck region particularly posterior triangle, and occasionally axillary, mesentery and spleen etc. Recently, we have experienced one case of left axillary cavernous lymphangioma, which surgically removed successfully and confirmed histopathologically. We want to report one case of left axillary large cavernous lymphangioma with a brief review of the relevant literatures.

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Bronchogenic cyst communicating with esophagus: report of a case (식도와 연결된 선천성 기관지성 낭종의 치험 1례 보)

  • Lee, Cheol-Ju;Choe, Won-Hui;Ha, Jeong-Ok
    • Journal of Chest Surgery
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    • v.17 no.3
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    • pp.505-510
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    • 1984
  • Among varieties of the mediastinal tumors, benign developmental cysts [Entergenous cysts] occur about 10% of them. From the primitive foregut, tracheobronchial tree and esophagus develop at 3 weeks of its embryonal age, and bronchogenic cyst arises from accessory or supernumerary lung bud. Usually it remains isolated with surrounding structures, and causes no specific symptoms. But few cases of bronchogenic cysts have fistulous communication with esophagus causing compressive symptoms. We report a case of unusual complicated case of bronchogenic cyst with review of literatures.

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Tenosynovial Giant Cell Tumor Showing Severe Bone Erosion in the Finger: Case Report and Review of the Imaging Findings and Their Significance

  • Lee, Kyung Ryeol;Hyun, Chang Lim
    • Investigative Magnetic Resonance Imaging
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    • v.20 no.2
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    • pp.127-131
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    • 2016
  • We report a case of tenosynovial giant cell tumor with severe bone erosion in the right fifth finger of a 46-year-old man. Throughout this case review, we describe the imaging findings of tenosynovial giant cell tumor with severe bone erosion and review the literatures regarding osseous lesions caused by tenosynovial giant cell tumor and their significance related to the differential diagnosis and patient treatment.

Research Design for the Verification of Constitutional Prescription Determinants (체질처방 결정요인 확인을 위한 연구설계)

  • Jin, Hee-Jeong;Kim, Sang-Hyuk;Baek, Young-Hwa;Jang, Eun-Su;Ryu, Jong-Hyang;Lee, Si-Woo
    • Journal of Sasang Constitutional Medicine
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    • v.27 no.2
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    • pp.222-230
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    • 2015
  • Objectives The purpose of this study is to design a research to find clinical factors involved in the decision-making process for determining the constitutional prescription based on prospective clinical data. Methods We have created a draft of the case report form. Therefore, seven constitutional experts was interviewed for additional items to be important used to determine the constitutional prescription in clinic. Interviews were done from December 2012 to March 2014, experts per person 2-3 times, took time of about 120 minutes per interview. Since then, we developed the final case report form through the expert meeting. At the same time, the developing the electronic case report form (eCRF) and the protocol to collect constitutional treatment cases was also discussed. Results & Conclusions The items of the case report form were subject general, lifestyle, health measurement, record of expert, prescription and evaluation after medication. The part of the clinical symptoms of the record of expert allowed to be recorded in the 5-point scale for the collection of quantitative data as much as possible. Assuming a re-visit of the patient, if necessary, twice the recording were to be possible. At the same time, the eCRF and the protocol to collect constitutional treatment cases were also developed. In this study, it will be able to more objectively standardize the medical decision making process that the experts of constitutional prescription decision. As a result, it will be possible to provide the standardized constitutional medical services.

A Case Report for Adult Acne treated by Daesiho-tang based on Shanghanlun provisions with Extrusion therapy (『상한론(傷寒論)』 변병진단체계(辨病診斷體系)에 따른 대시호탕(大柴胡湯) 투여와 압출치료를 병행하여 호전된 성인 여드름 증례보고)

  • Kim, Hyeong-Seop
    • 대한상한금궤의학회지
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    • v.9 no.1
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    • pp.59-73
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    • 2017
  • Objectives : The purpose of this case report is to report the effect of Daesiho-tang on adult acne by Shanghanlun provisions with extrusion therapy. Methods : According to diagnostic system based on Shanghanlun provisions, the patient was diagnosed with Taeyang-byung Gyeolhyung and treated by Daesiho-tang with extrusion therapy. The result of administrations were evaluated by Korean Acne Grading System(KAGS), Korean Skindex-29, and change of clinical symptoms. Results : After administration of Daesiho-tang for 150 days with weelky extrusion therapy, KAGS improved from grade 4 to grade 1, Skindex-29 improved from 67.93 to 15.51, and patient was very satisfied with the treatment. No serius treatment-related adverse events were reported. Limitations : This case is only one case that the level of evidence is weak. Two interventions were used together and the duration of photo was uneven. Conclusions : The patient almost recovered from acne treated by Daesiho-tang according to diagnostic system based on Shanghanlun provisions with extrusion therapy. This is the first case report that suggests '熱結在裏' on the number 136 provision of Shanghanlun means fever that is always present in chronic skin lesions.

A CASE REPORT OF HEMANGIOPERICYTOMA (Hemangiopericytoma의 치험 1예)

  • Park, Kwang-Ho;Kim, Houng-Gon;Kim, Joon-Bae;Lee, Jae-Hwi
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.12 no.1
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    • pp.187-192
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    • 1990
  • This is a case report of hemangiopericytoma on lower lip. Hemangiopericytomas are very rare tumors of vascular origin featuring pericytes distributed about vascular spaces. Approximately one third occur in the head and neck, but the oral hemangiopericytomas are very rare and occur on tongue, mandible, maxilla and lip etc. The histogenesis is uncertain and there is no feature to distinguish the benign from the malignant variants. Complete excision is mandatory to avoid recurrence. A review of the literature and a report of a case of the oral hemangiopericytoma is presented.

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Case Report for a Refractory Recurrent Aphthous Stomatitis Treated with Jibaekpalmi-hwon

  • Son, Chang-Gue
    • The Journal of Korean Medicine
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    • v.33 no.2
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    • pp.73-77
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    • 2012
  • Objectives: This report reports a clinical case of a patient with recurrent aphthous stomatitis (RAS) for 10 years who was completely cured using Korean medicine. Methods: A male patient with terribly severe RAS was hospitalized, and then treated with Jibaekpalmi-hwon, indirect moxibustion (KI 1 and CV 4) and acupuncture. The clinical outcome was observed by self-reported VAS measurement and macroscopy. Results: The severity of stomatitis became improved gradually and completely recovered during 17 hospital days, and RAS has not recurred for three months as an outpatient. The blood test including complement activity was in the normal range. Conclusions: This case report provides information about a therapeutic effect of Jibaekpalmi-hwon and Korean medicine on RAS.