• 제목/요약/키워드: clinic

검색결과 8,227건 처리시간 0.035초

2012년부터 2016년까지 대전지역 대학 한방병원 안이비인후피부과 외래환자에 대한 연도별, 계절별 경향성 분석 (The Analysis on Annual, Seasonal tendency of Outpatients in ophthalmology & Otolaryngology & Dermatology clinic of Korean Medical hospital from 2012 to 2016)

  • 안재현;정현아
    • 한방안이비인후피부과학회지
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    • 제30권2호
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    • pp.19-37
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    • 2017
  • Objectives : The study designed to analyze annual, seasonal tendency of outpatients in ophthalmology & otolaryngology & dermatology clinic of Korean Medical hospital from 2012 to 2016. Methods : We investigated annual, seasonal population-social characteristics such as sex or age, departmental characteristics such as ophthalmology, otolaryngology, dermatology, many others, main diagnosis, cost characteristics of treatment period and frequency of treatment those who were received treatment as outpatients in Dunsan Korean Medical Hospital ophthalmology & otolaryngology & dermatology clinic from March 2012 to March 2016. The data was obtained from EMR chart, and statistical analysis was performed using SPSS 19.0. Results : We analyzed population-social characteristics, utilization of new patients in the year, in the season, and we obtained various results. Conclusions : In the analysis of annual, seasonal utilization patterns that outpatients offered in ophthalmology & otolaryngology & dermatology clinic of Korean Medical hospital from 2012 to 2016, the report draws 3 different conclusions.

이상근 증후군 치험 4예 (Four Cases of the Piriformis Syndrome Treated by Trigger Point Injection on the Piriformis Muscle)

  • 박장수;송찬우;김정원;신동엽;홍기혁
    • The Korean Journal of Pain
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    • 제8권2호
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    • pp.341-346
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    • 1995
  • Piriformis Syndrome is characterized by pain of the low back, groin, perineum, buttock, hip, posterior thigh, leg and foot. Symptoms are aggravated by sitting, prolonged combination of hip flexion, adduction, the medial rotation, or by activity. In addition, patient may complain of painful swelling of the limb and sexual dysfunction-dyspareunia in female, and impotence in male. It currently appears that three specific conditions may contribute to the piriformis syndrome: (a) myofascial pain; (b) nerve and vascular entrapment; (c) dysfunction of the sacroiliac joint. The important keys of diagnosis are history and physical examination. There is no known objective diagnostic method. We described the clinical features of four cases of piriformis syndrome and reviewed foreign literature.

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이글스 증후군 치험 1예 (A Case Report of the Eagle's Syndrome Treated by Surgical Shortening of the Elongated Styloid Process)

  • 김병주;송찬우;김정원;신동엽;왕병진
    • The Korean Journal of Pain
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    • 제8권2호
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    • pp.319-323
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    • 1995
  • The implication of cervical pain associated with an elongated styloid process is credited to W.W.Eagle. Even though there were earlier reports of ossification of the stylohyoid ligament, findings in more than 200 cases in 1980s and 1940s resulted in the naming of a clinical syndrome that continues to bear his name, Eagle's syndrome. It is also sometimes called styloid process neuralgia or elongated styloid process syndrome is more common than generally recognized. The clinical symptoms range from a dull nagging pain with occasional radiation to ear, or to a foreign body sensation. Dysphagia and odynophagia may also occur. We successfully treated one case by removal of the elongated styloid process under the general anesthesia and C2 ganglion block. We then reported the clinical feature of one case of the Eagle's syndrome and further researched with the foreign literature.

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자기 공명분석기에 의한 특발성 다한증의 치험 (Experience with the Application of Magnetic Resonance Diagnostic $Analyser^{(R)}$ -A case of idiopathic hyperhidrosis-)

  • 김진수;김진호;김일호;박욱;김성열
    • The Korean Journal of Pain
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    • 제6권2호
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    • pp.280-283
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    • 1993
  • Idiopathic hyperhidrosis is a physically and emotionally distressing symptom, which lacks a precise definition. Although operative and nonoperative methods have been shown to be effective in the treatment of idiopathic hyperhidrosis, limitations, cautions and complications are inherent in their extended use. The purpose of this report is to describe the theraputetic effects of magnetic resonance for managing idiopathic hyperhidrosis. A 28 years old woman had been suffering from profuse sweating on both planter and palmar sides for 15 years. We successfully treated this symptom with the 6 magnetic resonance treatments without any complications. Now she lives well in a condition of normal sweating after the applications. It suggest that short daily periods of exposure to appropriate magnetic resonance can beneficially modulate the balance of autonomic nervous system that are responsible for sympathetic overflow, and that there is an effective window of induced electrical magnetism in which sympathetic function can be controlled in the absence of side effects.

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척추 추간판 탈출증의 저출력 레이저에 의한 치험 2예 (Low Level Laser Therapy for Two Patients with Herniated Nucleus Pulposus)

  • 김영추;김해규;백승완;김인세;정규섭
    • The Korean Journal of Pain
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    • 제4권1호
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    • pp.51-55
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    • 1991
  • There is a variety of therapeutic modality for herniated nucleus pulposus. Recently the low level laser has come into use for treatment for it. We treated two patients suffered from herniated nucleus pulposus of the central type of $L_{3,4}$ level, with He-Ne, $CO_2$ and Ga Al As laser simultaneously daily under hospitalization. In order to determine the efficacy of treatment, we used the "visual analogue scale" and its improvement rate. The results were as follows; Case I complained of gait disturbance, and hypoesthesia on the lateral side of the left lower leg, as and as low back pain. At the 15th day after treatment, VAS improvement rate was 40%, and the gait disturbance and hypoesthesia were markedly improved. 35th days after tratement, VAS improvement rate was 80%. Case II complained only of low back pain. At the 15th day after treatment, the VAS improvement rate was 68%, and at 20 days after treatment it was 84%. We sugsest that, using the low level laser for treatment of herniated nucleus pulposus increased the cartilage entrophism, and inhibitory effects of the inflammatory materials such as acid glycosaminoglycan by its anti-inflammatory and analgesic effects.

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축구 선수에서의 발목 및 발의 통증 (Foot and ankle pain in soccer players)

  • 이경태;양기원;김재영;차승도;김응수
    • 대한정형외과스포츠의학회지
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    • 제3권1호
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    • pp.36-41
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    • 2004
  • The purpose of this study is to describe the common injuries in soccer players in terms of the orthopaedic operative treatment. We classified foot pain to in forefoot , midfoot, plantar aspect and mentioned the cause, incidence and treatment methods. Ankle pain was classified to anterior, lateral, medial and posterir aspect of the ankle. In all injuries in soccer players, conservative treatment is primary treatment method and we treated operatively in no respond case inspite of the physical therapy and rehabilitation program for sufficient period. The anatomical repair was preferred and minimal invasive surgery was recommended if possible and then focus of treatment is to early return to previous full activities through the rehabilitation program for sufficient period. As a conclusion, it is necessory to understand the mechanism and cause of the common injuries in soccer players and to select the proper treatment method to the degree of the injuries.

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혀의 점막하에 발생한 신경초종 환자의 치험례 (Submucosal Schwannoma of Tongue: A Case Report and Brief Review of Literature)

  • 박성원;전재호;박주용;최성원;김수호
    • Maxillofacial Plastic and Reconstructive Surgery
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    • 제34권6호
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    • pp.480-483
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    • 2012
  • Schwannoma is a benign, slow-growing, tumor of the peripheral nerves without specific symptoms, so that early diagnosis may be difficult. Though approximately 25~40% of all schwannomas occur extracranially in the head and neck region, only 1% of schwannomas are reported in the oral cavity. An 18-years-old female patient visited our clinic with a mass on the middle-right-dorsal surface of the tongue slowly growing for 1.5 years. The patient underwent the surgical removal of the neoplasia under general anesthesia. The mass was well capsulated and a cleavage plane was easily found. There was no recidivation during the course of a one-year follow-up. The treatment for schwannoma is surgical excision of the lesion and recurrence after excision of schwannoma is rare. The final diagnosis is made after a histological examination. Differential diagnoses must be made in relation to malignant tumors and in relation to numerous benign neoformations based on epithelial and connective tissues.

정장내의 Antifertilizing factor의 분리 및 정제 (Partial Purification of Antifertilizing Factor from Seminal Plasma)

  • 김수원;백청순;김재명;서병희;이재현
    • Clinical and Experimental Reproductive Medicine
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    • 제17권2호
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    • pp.197-202
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    • 1990
  • Early studies demonstrated that seminal plasma has a factor which inhibits fertilizing ability in a reversible manner. The factor can be precipitated by centrifugation at 104000g for 18 hr. The precipitate was applied to a CM cellulose column and eluted with high salt concentration. This fraction possessed antifertilizing activity was applied to a Sephacryl S-200 column according to a modification of the method of Reddy et al. Using such inhibition of in vitro fertilization ability as an assay, we have carried our experiments to purified the factor. When the factor was added to IVF medium, 70-80% of fertilization was inhibited.

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안면경련 환자에서의 안면 신경차단 -27예의 환자분석- (Facial Nerve Block for the Treatment of Facial Spasm -A retrospective analysis of 27 patients-)

  • 김찬;이영복;이효근;윤경봉;최령
    • The Korean Journal of Pain
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    • 제7권1호
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    • pp.43-48
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    • 1994
  • Twenty seven patients with hemifacial spasm were treated by facial nerve block at the foramen stylomastoideum and O'Brien block from January 1992 to March 1994. There were 16 female and ll male patients, a 1.5:1 ratio respectively. Most patients were 40~60 years old. Among the 27 patients treated by nerve blocks, 26 responded well to the facial nerve block, including two cases of O'Brien block. One patient failed to respond to the facial nerve block. Induced facial palsy disappeared within one or two months within the majority of patients. Among the 26 patients who received nerve block, 6 patients required a second block within 3 to 9 months. After successful nerve block, all patients were free of spasm for 1 to 16 months. Although the follow-up period was short in duration, these results suggest that facial nerve block is a satisfactory and reliable method in the treatment of facial spasm.

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시호청간탕가감방(柴胡淸肝湯加減方)과 가감청영탕(加減淸營湯)을 병행하여 치료한 지루성피부염 환자 7례 증례 보고 (Seven Cases of the Seborrheic Dermatitis Patients Treated with Sihochunggan-tang gagambang and Gagamchengyoung-tang)

  • 김준태;박선정;정창환;한수련
    • 한방안이비인후피부과학회지
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    • 제30권4호
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    • pp.153-166
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    • 2017
  • Objectives : The purpose of this study is to report the effectiveness of Sihochunggan-tang gagambang and Gagamchengyoung-tang in the seven patients with seborrheic dermatitis. Methods : This case study was conducted for seven seborrheic dermatitis patients, who have visited Korean Medicine Clinic from 2013.10.01 to 2017.09.30. All seven patients were treated with Sihochunggan-tang gagambang and Gagamchengyoung-tang and acupucture. During taking medicine, we let them avoid bad food like fatty food and alcohol. We evaluated the symptom change through photographs and used Visual Analogue Scale(VAS) as the assessment method. Results : VAS such as skin severity of symptoms, sleep disorder, pruritus was decreased as a result of Sihochunggan-tang gagambang and Gagamchengyoung-tang and acupucture treatment in seven seborrheic dermatitis patients. Conclusions : After the treatment, the grade of VAS was decreased and most symptoms of seven patients were improved. As a result of examining VAS scores and photographs, Sihochunggan-tang gagambang and Gagamchengyoung-tang can be effective on the seborrheic dermatitis in seven cases in our study.