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삼차신경통과 반대측 안면경련이 동반된 환자의 치료 경험 -증례 보고- (Trigeminal Neuralgia Patient who has Contralateral Hemifacial Spasm -A case report-)

  • 김찬;김성모;이효근;황혁이;김승희;이영철;김부성;조영례
    • The Korean Journal of Pain
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    • 제9권2호
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    • pp.423-425
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    • 1996
  • Tic convulsif is a syndrome restricted to paroxysmal dysfunction of the fifth and seventh cranial nerves. It occurs predominantly in women over the age of 50 years and is usually associated with an ectatic vertebrobasilar artery - less frequently an arteriovenous malformation or cholesteatoma - which compresses the trigeminal and facial nerve roots in the postetior fossa. In rare instances this syndrome may be caused by brain tumor. Because of the high incidence of posterior fossa lesions in painful tic convulsif, a complete neurological evaluation including computerised transaxial tomography should be performed in every case. We experienced a case of trigeminal neuralgia(mandibular division)and contralateral hemifacial spasm.

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직복근 증후군 환자에서의 치료 경험 -증례 보고- (The Rectus Abdominis Syndrome -A case report-)

  • 박진우;김정훈;신용출;정순호;최영균;김영재;신치만;박주열
    • The Korean Journal of Pain
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    • 제13권1호
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    • pp.123-125
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    • 2000
  • Rectus abdominis syndrome is the abdominal pain which occurs in the distribution of the medial or lateral cutaneous branch of the 7~12th intercostal nerves. It is frequently cause that results in unnecessary pain and expense to patient. The physical examination is difficult because of severe abdominal pain. We must have attention to the possibility that patients with abdominal pain, in whom no intra- abdominal cause is founded, may suffer from this presumed nerve entrapment syndrome. If we can find the cause of pain in the abdominal rectus muscle, no evaluation and surgery are required and therapy can be simple.

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양측성 삼차신경통 -증례 보고- (Bilateral Trigeminal Neuralgia -Four cases-)

  • 김찬;박수경;한경림;옥경종;이지아;김진수;윤석환
    • The Korean Journal of Pain
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    • 제13권2호
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    • pp.232-236
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    • 2000
  • Bilateral trigeminal neuralgia is uncommon and usually occurs in 1% to 11% of patients with trigeminal neuralgia. There has been no report of a patient with bilateral trigeminal neuralgia in Korea. Based on our review, the incidence of bilateral trigeminal neuralgia among the trigeminal neuralgia patients who visited our pain clinic numbered 0.7% (4 out of 531). This is much lower than those of other previous studies. This lower incidence might be explained by the fact that we excluded those patients with mild bilateral trigeminal neuralgia which did not require treatment and also patients whose symptom on controlateral side was relieved by injection of local anesthetics for that side. Among the four patients with bilateral trigeminal neuralgia, three patients received alcohol block of the branches of trigeminal nerve and one refused the treatment. Overall, three patients maintained good or excellent pain relief without any serious complications throughout the follow-up period.

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안면경련 환자에서 안면신경 차단의 추적조사 (Retrospective Study of Facial Nerve Block for Facial Spasm)

  • 김찬;양승곤;이효근;이희전;오지현;노원환;김승희
    • The Korean Journal of Pain
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    • 제9권1호
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    • pp.89-93
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    • 1996
  • Hemifacial spasm commonly occurs in muscles about the eye, but may also involve or spread to the entire side of the face. One hundred and seventy eight patients with hemifacial spasm visited our Neuro-Pain clinic from January 1992 to April 1996. There were 121 female and 57 male patients, a 2.1:1 ratio respectively. Largest percentages of patients were in the 50 year old range. Among them, 96 patients were treated by facial nerve block or O'Brien block. In most cases, induced facial palsy disappeared within one or two months. Among the 96 patients who received nerve block, 46 patients received a second block within 5 to 24 months. The average interval from first and second nerve block was 11.5 months. After nerve block, all patients were free from spasm for 1 to 21 months. We conclude that facial nerve block is a satisfactory and reliable method for the treatment of facial spasm.

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IPA기법을 이용한 한양방 의원 서비스품질의 비교 분석 (A Comparative Analysis on the Service Quality Between Korean and Western medicine clinic using the IPA Technique)

  • 이정원;이해웅
    • 대한예방한의학회지
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    • 제21권3호
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    • pp.65-73
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    • 2017
  • Objectives : The purpose of this study is to investigate on the Korean and Western medicine clinic quality to use IPA matrix and to establish a Korean medicine service management strategy. Methods : In order to achieve the research purpose, medical consumers who visited 3 Korean and Western medicine clinics were surveyed. frequency analysis, paired t-test were used for the statistical analysis, and the mean of each variable was used for IPA analysis. Results : The major results of analysis are as follows: It was confirmed that the skill and the kindness of the human resources were important in both the Korean medicine clinic and the Western medicine clinic. And it was confirmed the difference of the satisfaction rate and IPA between the Korean medicine clinic and the Western medicine clinic. Especially Medical devices and equipment, Easy booking, reception, payment procedure were different in IPA analysis. Conclusions : We confirmed the similarities and differences between Korean medicine clinics and Western medicine clinics in terms of importance, satisfaction, and IPA. On the basis of these results, Korean Medicine clinic could arrange a management strategy in consideration of consumers' choice attribute.

안 대상포진 환자에서 지속적 경부 경막외차단의 효과 -증례보고- (The Effect of Continuous Epidural Block for Herpes Zoster Opthalmicus)

  • 이희전;정소영;이효근;이성연;이경진;김찬
    • The Korean Journal of Pain
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    • 제8권1호
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    • pp.127-130
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    • 1995
  • A 34 year old male patient visited to our neuro-pain clinic with symtoms of a left frontal headache, eyeball throbbing and occipital pain. Two days after the first visit to our clinic. pain was aggrevated and the skin eruption appeared on the left forehead. He was diagnosed as raving Herpes Zoster Opthalmicus(HZO). We performed stellate ganglion block(SGB), but pain did not subsid. So a continuous cervical epidural block was perfomed(CCEB) and it could relieve the pain promptly. In this case, VAS(visual analogue scale) was diminished from 10 to 3 and the skin eruption was healed 24 days after the treatment with CCEB and SGB. We experienced that CCEB is more effective rather than intermittent SGB in intractable HZO. CCEB should be considered to the treatment of choice in patients with HZO.

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비만클리닉 내원자 중 식이장애 고위험군 및 식이장애의 유병률 (The Prevalence of Eating Disorder High Risk Group and Eating Disorder Among Bariatric Clinic Patients)

  • 신현택;송재철;이경희;이재성
    • 한방비만학회지
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    • 제4권1호
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    • pp.13-22
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    • 2004
  • Objectives: The purpose of this study was to investigate the prevalence of eating disorder high risk group and eating disorder among whom visit bariatric clinic for diet and its relationship with sex, ages and body measurement. Methods: 742 subjects who visit our clinic both at Seocho and Bundang from January to October in 2004 were surveyed by using EAT-26 to assess their eating attitude. Results: The prevalence of eating disorder high risk group was 17.9% and that of eating disorder was 3.2%. Mean score of EAT-26 was higher in females$(13.22{\pm}8.52)$ than males$(8.95{\pm}5.44)$ and was significantly higher in twenties than the thirties in females(p<0.05). Mean weight, BMI and % body fat were significantly lower in eating disorder high risk group than normal group(p<0.05). Conclusions: Eating disorder symptomatology was highly prevalent among whom visit bariatric clinic for diet.

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협동유우진료소(協同乳牛診療所)를 중심(中心)한 서울근교(近郊) 유우질환(乳牛疾患)의 연간조사보고(年間調査報告) (II) (A One-Year Analysis of Dairy Cow Diseases of Seoul Area at Hyup Dong Large Animal Clinic)

  • 정창국;남정현;김정배;서정순;최중범;박근영;차종상
    • 대한수의학회지
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    • 제7권2호
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    • pp.56-59
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    • 1967
  • Number of dairy cow patients diagnosed and treated at Hyup Dong Large Animal Clinic during the year, October 1, 1966, through September 30, 1967, were amounted to 1,119 cases and the result of analysis of disease incidence during one year period were as follow: 1. In the etiologic diagnostic categories, diseases cause by infection with lower organism were most productive and 43.3% of all diagnosis involved in this category. 2. In the topographic diagnostic categories, 37.3% of all diagnosis involved the urogenital system and were observed most productive. 3. As a result of each topographic diagnostic categories were subdivided into disease entities, 21.4% of all diagnosis involved the mastitis and this were observed most productive in the miscellaneous disease entities. Next productive disease were indigestion (11.9%), endometritis(11.5%), miscellaneousl ovarian disease(11.1%) and retained placenta(81.1%) chronologicaly.

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대구지역 치과환자들의 치과 의료기관 선택기 (Factors for Choice on Dental Care Facilities among Dental Patients in Dageu)

  • 이현주;황태윤;박사라
    • 보건의료산업학회지
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    • 제7권1호
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    • pp.145-153
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    • 2013
  • The purpose of this study is to identify if dental patients discriminate between dental clinic and dental hospital and the related factors for choice of dental facilities. A self-administered questionnaire survey was conducted from March 21 to April 11, 2011. Among 430 dental patients who visited dental clinic or dental hospital twice or more in Daegu, 410 dental patients were included in analysis. A total of 73.6% of the dental clinic visitors recognized correctly that the visiting facility was dental clinic and 82.3% of dental hospital visitors did correctly. Therefore, it can be said that dental hospital visitors recognize better the type of dental care facilities they visit. When it comes to choosing the dental facility, there were not much differences between the clinic and hospital patients in this study. Human resources, facilities and equipment, service are factors for choosing dental clinic and dental hospital in order. However, modern dental facility and equipment were more important factor for patients to choose dental hospital than clinic. It will be necessary for dental clinic or dental hospital to develop its own specific service to fulfill dental patients' needs through further studies on factors for choosing dental facilities.