• 제목/요약/키워드: clinical character

검색결과 189건 처리시간 0.019초

요추간판탈출증(腰椎間板脫出症) 환자(患者)의 추나치료(推拿治療) 효과(效果)에 대(對)한 임상적(臨床的) 고찰(考察) (The Clinical Study on the Effect of Chuna Treatment for Patients with Herniated Intervertebral Disc of Lumbar Spine)

  • 김수장;장형석;김성용;신준식
    • 대한추나의학회지
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    • 제2권1호
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    • pp.93-109
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    • 2001
  • Objectives : The aim of present study is to estimate clinical outcome of Chuna treatment and Chuna medicine treatment for patients with H.I.V.D(Herniated Intervertebral Disc) of lumbar spine according to the character of patients and the steps of Chuna therapy, and therefore suggest a prospective, desirable Chuna treatment and patient guidance. Methods : We investigated the 258 cases of outpatients who were diagnosed as the H.I.V.D. on lumbar C.T. or MRI and were treated more than seven times with chuna treatment and more than one time with Chuna medicine treatment In Jaseng Oriental Medicine Hospital from September 1, 1999 to December 31, 2000. We evaluated the subjective symptoms by Hudgin's classification. For the sake of the more objective evaluation for before and after treatment, we calculated the Improvement index and ratio of the four parts to estimate the pain and functional disorder In before and after treatment by Macnab's criteria. Results & Conclusion : The improvement index and ratio showed that the conservative therapy with Chuna therapy improved the symptom of H.I.V.D. much effectively, and especially in the patient groups of male, 30-39 years, standing Job, duration of symptom within one week, the 4th step of chuna treatment, the first step of chuna medicine treatment, and the excellent satisfactory assessment of Chuna treatment. Therefore, it is supposed that the conservative therapy with Chuna therapy and patient guidance should be much actively continued.

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육부하합혈(六腑下合穴)의 도입(導入) 배경(背景)에 관(關)한 연구(硏究) (A review study on the Yug Bu Ha Hap Hyul)

  • 이봉효;임성철;이경민;김재수;정태영
    • Korean Journal of Acupuncture
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    • 제26권3호
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    • pp.77-85
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    • 2009
  • Objectives : The lower sea points of the six bowels is one of the most useful acupuncture prescription in the treatment for diseases related with six organs. There have been many studies on the effects of each acupoint, but it is difficult to find a systemic review about the whole of it. The purpose of this study is to review the lower sea points of the six bowels and investigate the background of the induction of that. Materials and Methods : 1. The authors performed systemic review about the lower sea points of the six bowels using related-literatures such as Neijing and Nanjing. 2. We investigated the background of the induction and the necessity through the meaning of the character Hop (合). We thought the clinical usefulness of that. Results and Conclusions : The lower sea points of the six bowels had been made for the supplement of the sea point of the five transport points and it might be possible to substitute the sea point of the five transport points with the lower sea points of the six bowels owing to the clinical usefulness of the lower sea points of the six bowels.

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표준화 난임환자를 활용한 한의대생의 진료 및 의사소통 수준연구 (A study about the medical communication proficiency of Korean traditional medical students using standardized patients of Infertility)

  • 안효자;양승정;신헌태
    • 대한예방한의학회지
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    • 제18권3호
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    • pp.1-10
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    • 2014
  • Objective : The purpose of this study is to assess the communication and medical interview level of the students in the college of korean traditional medicine using Standardized Patients(SP). Method : 35 students of 5th grade in the college who are doing their clinical practice class participated and conducted medical interview on standardized infertile female patient. SP and professor who observed the interview evaluated the students' communication skill and medical interview level using the assessment sheet composed of 23 questions. Results : 1. Satisfaction of SP was 1.66 of 3. In the communication section, students conducted well in appropriate voice and no inappropriate interruption but they didn't show good practice in considerate physical examination, understandable explanation relatively. 2. The scores that were acquired by students in informing the time required, obtaining agreement at initiating and closing, family history taking, checking mental status and physical examination 2 were low in the medical interview section. 3. There were some differences in the communication and medical interview scores by the students' sex (p<.01), age(p<.05) and medical camp experience(p<.05). But we couldn't find any evidence about the relation between character type and the communication and medical interview scores(p>.62). Conclusion : On the whole, students who participated this study had difficulties in building relationship with patient and conducting medical interview. They need to improve their ability in those fields by appropriate education before their graduation.

부뜸이에 의한 전립선암 치료 1례 보고 (Clinical Report of One Chronic Several Patient on the Cancer of the Prostate Gland by Using BUDDEUMI;equipment with using Combination of Moxibustion and Cupping Literatures)

  • 김경철;양한조
    • 동의생리병리학회지
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    • 제21권6호
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    • pp.1660-1662
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    • 2007
  • "BUDDEUMI is a new remedy of the synchronous combination of cupping boil and moxibustion for the exclusion of human body's waste product. It wishes the reach for improving the effect of cupping boil and moxibustion by the synchronous combination. As the negative pressure of cupping and the hot cure of moxa are made up of BUDDEUMI structural character. In order to determine the depth-hot effect of BUDDEUMI, clinical study was performed in the cancer of the prostate gland for several years. The targets of study was one person with the cancer of the prostate gland for several years. The BUDDEUMI was operated 3-4 times/ day, during 12 months on the Gowan-Won, Jang-Wan, Jeon Jung and the abdominal region & Jang-Gang, Meong-Moon, Dae-Chue and the back region. Therefore we compared PSA(prostate singular antigen: June, 2006/ June, 2007) before and after BUDDEUMI therapy. PSA significantly decreased in a comparison of before-treatment (30.76) and after 12 months (0.76). And the times of enuresis significantly decreased in a comparison of before-treatment (5-10 times) and after 12 months(1-2 times). The effects of BUDDEUMI are observed on the treatment of the cancer of the prostate gland. As "BUDDEUMI and BUDDEUMI's treatment" is expected to relieve pain, and for the healthy article of Senior-Friendly.

Unsolved Questions on the Anatomy of the Ventricular Conduction System

  • Oh, Il-Young;Cha, Myung-Jin;Lee, Tae-Hui;Seo, Jeong-Wook;Oh, Seil
    • Korean Circulation Journal
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    • 제48권12호
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    • pp.1081-1096
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    • 2018
  • We reviewed the anatomical characteristics of the conduction system in the ventricles of human and ungulate hearts and then raised some questions to be answered by clinical and anatomical studies in the future. The ventricular conduction system is a 3-dimensional structure as compared to the 2-dimensional character of the atrial conduction system. The proximal part consisting of the atrioventricular node, the bundle of His and fascicles are groups of conducting cells surrounded by fibrous connective tissue so as to insulate from the underlying myocardium. Their location and morphological characters are well established. The bundle of His is a cord like structure but the left and right fascicles are broad at the proximal and branching at the distal part. The more distal part of fascicles and Purkinje system are linear networks of conducting cells at the immediate subendocardium but the intra-mural network is detected at the inner half of the ventricular wall. The papillary muscle also harbors Purkinje system not in the deeper part. It is hard to recognize histologically in human hearts but conducting cells as well as Purkinje cells are easily recognized in ungulate hearts. Further observation on human and ungulate hearts with myocardial infarct, we could find preserved Purkinje system at the subendocardium in contrast to the damaged system at the deeper myocardium. Further studies are necessary on the anatomical characteristics of this peripheral conduction system so as to correlate the clinical data on hearts with ventricular arrhythmias.

반항성 도전 장애 아동과 연관된 공존 증상 및 위험 요인에 관한 연구 - 지역사회 연구 - (COMORBIDITY AND RISK FACTORS ASSOCIATED WITH CHILDREN WHO HAVE THE SYMPTOMS OF OPPOSITIONAL DEFIANT DISORDER - COMMUNITY BASED STUDY -)

  • 김붕년;정광모;조수철;홍강의
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • 제16권1호
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    • pp.79-89
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    • 2005
  • 연구목적 : 본 연구에서는 지역사회에서 확인된 반항성 도전장애 (Oppositional defiant disorder 이하 ODD) 아동들을 대상으로 이들의 역학적 특징, 공존 정신병리 및 환경적 위험 요인을 파악하고자 하였다. 방법 : 본 연구는 서울 근교의 지방도시(부천시)에서 무작위로 선정된 1학년부터 6학년까지의 초등학생 986명을 대상으로 시행되었으며, 모든 정보는 부모로부터 얻었다. 우선 DSM-III-R과 DSM-IV에 의한 파탄적 행동 평가척도를 통해 대상군을 선정하였고, 나머지 군을 대조군으로 선정하였다. 소아행동조사표, 아동성격척도를 통해 아동 문제 및 기질을 조사하였다. 또한 가족적응/결속척도, 가족기능/만족도척도를 통해 가족 기능을 평가하였고, 동시에 임신-분만-주산기 문제들을 조사하였다. 두 군간의 차이는 t-검정과 $\chi^2$-검정을 통해 비교하였다. 결과 : ODD군 아동은 대조군에 비해 아동행동조사표(child behavior checklist : CBCL)의 모든 소항목과 파탄적행동장애평가표(disruptive behavior disorder scale : DBDS)의 주의력결핍/과잉행동 장애 항목에서 유의하게 높은 점수를 보여 전반적인 공존 정신병리가 심한 것으로 평가되었고, 가족 결속력, 가족 기능/만족도가 낮은 것으로 평가되었다. 임신-분만-주산기 문제 중에서는 임신기의 심한 정서적 스트레스, 임신 중 약물 복용, 산후 우울증 빈도에서 대조군에 비해 유의하게 높은 빈도를 나타냈다. 성격척도에서는 ODD군이 보다 높은 위험회피성, 새것추구성을 보이는 것에 반해 보상의존성은 낮은 것으로 평가되었다. 결론 : 본 연구는 ODD를 독립된 대상군으로 선정하여 시행된 첫번째 지역사회 연구라는 점에 의의를 가진다. 본 연구의 결과는 반항성 도전장애 아동들에게 임신-분만-주산기의 생물학적인 환경적 위험 요인과 가족 기능으로 대표되는 심리-사회학적인 환경적 위험 요인이 동시에 증상 발현에 관여할 가능성이 있음을 시사하는 것이다. 또한 대조군에 비해 높은 수준에서 주의력결핍과잉행동장애(attention deficit hyperactivity disorder ; ADHD), 우울, 불안 등의 다양한 공존 병리를 보여 ODD에 동반된 증상에 대한 정확한 진단과 치료가 요구된다고 할 수 있다. 향후 ODD의 질병 경과를 파악하고 위험 요인간의 상호관계를 밝히며 공존 병리 존재 시 치료 모델을 확립하기 위한 보다 자세한 연구가 요구된다.

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악골내 섬유조직성-골성병소에 관한 임상연구 (A CLINICAL STUDY ON FIBRO-OSSEOUS LESIONS OF THE JAWS)

  • 김욱규;차승만;황대석;김용덕;신상훈;김종렬;정인교
    • Maxillofacial Plastic and Reconstructive Surgery
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    • 제27권3호
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    • pp.248-258
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    • 2005
  • The challenging task of classifying the fibro-osseous(FO) lesions has been previously attempted but only in the past 15 years has the entire spectrum of diversity been appreciated. For the clinicians, it is hard to clearly diagnose the lesions before operations. The purpose of this study was to review the literature about fibro-osseous lesions of the jaws and to analyse our clinical cases. As the results of the review of clinical features, radiography and histopathologic findings of sixteen cases of fibro-osseous lesions, we could elucidate diagnostic aids for treatment of benign FO lesion in jaws. Six patients involving fibrous dysplasia complained the facial swelling and facial asymmetry. The radiographic features of the lesions showed ground-glass radiopacity mostly and the histologic findings showed typically Chinese character-shaped trabeculae without osteoblastic rimming in the fibrous stroma. Six patients with ossifying fibroma were notified as swollen buccal cheek state. Their radiographic findings showed cortical expanded radiolucent lesion with sclerotic defined border, which was contrast to the normal adjacent bone. The lesions showed variant radiolucent lesions. Histological findings were revealed as cellular fibrous stroma with woven bones, variable patterns of calcifications. Three patients with cemental dysplasia didn't have specific complaints. Well circumscribed radiopaque lesions on mandibular molar area were observed. Cementum-like ossicles with fibrous stroma were found on microscopic findings. A osteoblastoma case with jaw pain was found. The radiographic feature was a mottled, dense radiopacity with osteolytic border on mandibular molar area. Under microscopy trabecule of osteoid with vascular network were predominantly found. Numerous osteoblast cells with woven bone were found. These clinical, radiographic and microscopic findings of benign fibrous-osseous lesions would suggest diagnostic criteria for each entity of FO lesions.

지방분해를 위한 장침 전기자극 시술의 안정성 및 안전성 연구 (Study on Mechanical Stability and Safety of Electroacupuncture to Localized Fat Deposit)

  • 진성순;송윤경;임형호
    • 한방재활의학과학회지
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    • 제19권1호
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    • pp.169-186
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    • 2009
  • Obejectives : The electroacupuncture(EA) on regional fat is often used by oriental medicine doctors in Korea. However, there have been few studies about safety and biocompatibility of its application. Therefore we investigated the safety and change of mechanical character of electroacupuncture after its application on localized fat deposit. Methods : Online surveys were completed from Aug 21 2008 to Aug 28 2008, by email, the online survey data were obtained from nearly 10,002 Korean medical doctors who listed their email address on the website of association of korean oriental medicine. This study includes an experiment on the physical strength and biological property of long needles. We represent each method which were collected in advance survey, then sealed the needles off and did laboratory experiment, which includes surface observation, analysis, vickers hardness test, and also biocompatibility and toxicity test. Results : There was no considerable difference about the physical property after applying electric current, the cell survival rate did not change in comparison with controlled group either. Conclusions : Although it seems there are no considerable acupuncture-related problem, we still need additional studies about clinical effectiveness difference related operation condition. Besides, it will need research on the actual condition, standardization, and criteria about the comsumed needle in Korea.

측두 하악관절의 기능적 변화가 있는 환자의 측모두부방사선 계측학적 연구 (CEPHALOMETRIC STUDY IN PATIENTS WITH FUNCTIONAL ALTERATIONS OF THE TEMPOROMANDIBULAR JOINT)

  • 권병인;백형선
    • 대한치과교정학회지
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    • 제22권3호
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    • pp.703-713
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    • 1992
  • Researches in pathologic entities and syndromes that describe temporomandibular joint (TMJ) or TMJ-related pain and dysfunction, have been hampered by confusion and conflict over the pathogenesis of myofascial and joint pain, the character and causes of joint noises, and the lack of scientific methods. Investigators have more recently correlated clinical diagnosis and arthrographic and surgical findings to demonstrate 'internal derangements' of the TMJ. It is thought that the structural and functional changes characteristic of internal derangements constitute the principal pathologic entity of the TMJ. Cephalometric data from a group of 34 subjects with documented functional changes in the TMJ were compared with those of a group of 35 subjects from a control sample. The results were as follows: 1. Comparison of a group which shows Class I relationship, there was a tendency to show clock-wise rotation of mandible and linguoversion of upper and lower anterior teeth in the experimental sample. 2. Excluding the vertical relationship, there was a tendency to show low values of the lingual surface slope of the upper central incisor and high values of the interincisor angle in the experimental sample.

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치면세균막에서 분리한 뮤탄스 연쇄상구균 및 Streptococcus anginosus의 수종 항생제에 대한 감수성 조사 (ANTIBIOTIC SUSCEPTIBILITY IN MUTANS STREPTOCOCCI AND STREPTOCOCCUS ANGINOSUS ISOLATED FROM DENTAL PLAQUE)

  • 국중기;임상수;유소영;황호길
    • Restorative Dentistry and Endodontics
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    • 제29권5호
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    • pp.462-469
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    • 2004
  • The aim of this study was to investigate the susceptibility of mutans streptococci (S. mutans and S. sobrinus) and Streptococcus anginosus, for seven antibiotics, penicillin G, amoxicillin, ciprofloxacin, cefuroxime, erythromycin, bacitracin, and vancomycin. The minimum inhibitory concentration (MIC) of seven antibiotics against 3 species (type strains) of mutans streptococci and S. anginosus, 10 strains (wild type) of S. mutans, 7 strains (wild type) of S. sobrinus, and 11 strains (wild type) of S. anginosus, were measured by broth dilution method. All of the type strains of mutans streptococci and S. anginosus had the same susceptibility for penicillin G, amoxicillin, cefuroxime and bacitracin. Type strain of S. anginosus was sensitive in ciprofloxacin, but those of mutans streptococci were not. All of the clinical isolates of mutans streptococci and S. anginosus had the same susceptibility for the seven antibiotics. Our data reveal that mutans streptococci and S. anginosus have similar antibiotic-resistant character. In addition. these results may offer the basic data to verify the antibiotic-resistant mechanism of mutans streptococci and S. anginosus.