• 제목/요약/키워드: korean medical clinic

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스테로이드 치료후 리바운드 현상이 발생한 한포진 치험 1례 (A Case Study on Steroid Rebound Phenomenon after Steroids Treatment for Pompholyx)

  • 신상호;윤정민;허정은;고우신;윤화정
    • 한방안이비인후피부과학회지
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    • 제27권3호
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    • pp.155-161
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    • 2014
  • Objectives : The purpose of this study is to know the effect of Korean medical treatment on pompholyx including steroid rebound phenomenon. Methods : We experienced one case of pompholyx treated with herbal medicine, pharmacupuncture and acupuncture. To evaluate the results of this treatment, we categorized symptoms into four items which are vesicles, itching, erythema and erosions. Results & Conclusions : After treatment we observed the improvement. Based on this experience, it is considered that the Korean medicine can be applied to the treatment of pompholyx.

대면 및 비대면 한의 체중조절 프로그램에 참여한 과체중, 비만 환자에서의 체중감량 및 이상반응 비교 분석: 후향적 차트 리뷰 (Analysis of Weight Loss and Adverse Events in Overweight, and Obese Patients on Korean Medicine Weight Management Program with Face-to-Face Treatment and Non-Face-to-Face Treatment: A Retrospective Chart Review)

  • 김은주;임영우;옥지명;김서영
    • 대한한의학회지
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    • 제43권3호
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    • pp.65-78
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    • 2022
  • Objectives: The purpose of this study is to analyze the weight loss and the adverse events of overweight and obese adults on weight loss program with face-to-face treatment (FTF) and non-face-to-face treatment (NFTF) in 6 Korean Medicine obesity clinics. Methods: From March 2nd to March 10th, 2021, we collected data with a retrospective way from overweight and obese adults (body mass index, BMI≥23 kg/m2) who registered for a 12-week Gamitaeeumjowi-tang prescription program. After matching initial information of the FTF group and the NFTF group using propensity matching score, weight loss and BMI change were analyzed, and adverse events were evaluated in terms of causality, severity and system-organ classes. Results: Weight and BMI change from baseline to 12 weeks was -7.98±3.09kg (10.41±3.57%), -3.03±1.14kg/m2 and -7.30±3.11kg (9.59±3.45%), -2.76±1.15kg/m2 for FTF group and NFTF group, respectively. Body weight and BMI significantly decreased before and after treatment in both groups, and there was no significant difference in weight loss and BMI change between the two groups. No serious adverse events were reported. Conclusions: This study showed the potential that NFTF weight management treatment could be a good alternative way to FTF weight management treatment without serious adverse events.

Outpatient Day-Care Management of Unruptured Intracranial Aneurysm: A Retrospective Cohort Study

  • Dae Chul Suh;Yun Hyeok Choi;Sang Ik Park;Suyoung Yun;So Yeong Jeong;Soo Jeong;Boseong Kwon;Yunsun Song
    • Korean Journal of Radiology
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    • 제23권8호
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    • pp.828-834
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    • 2022
  • Objective: This study aimed to assess the outcomes of outpatient day-care management of unruptured intracranial aneurysm (UIA), and to present the risks associated with different management strategies by comparing the outcomes and adverse events between outpatient day-care management and management with longer admission periods. Materials and Methods: This retrospective cohort study used prospectively registered data and was approved by a local institutional review board. We enrolled 956 UIAs from 811 consecutive patients (mean age ± standard deviation, 57 ± 10.7 years; male:female = 247:564) from 2017 to 2020. We compared the outcomes after embolization among the different admission-length groups (1, 2, and ≥ 3 days). The outcomes included pre- and post-modified Rankin Scale (mRS) scores and rates of adverse events, cure, recurrence, and reprocedure. Events were defined as any cerebrovascular problems, including minor and major stroke, death, or hemorrhage. Results: The mean admission period was 2 days, and 175 patients (191 aneurysms), 551 patients (664 aneurysms), and 85 patients (101 aneurysms) were discharged on the day of the procedure, day 2, and day 3 or later, respectively. During the mean 17-month follow-up period (range 6-53 months; 2757 patient years), no change in post-mRS was observed compared to pre-mRS in 99.6% of patients. Cure was achieved in 95.6% patients; minimal recurrence that did not require re-procedure occurred in 3.5% patients, and re-procedure was required in 2.3% (22 of 956) patients due to progressive enlargement of the recurrent sac during follow up (mean 17 months, range, 6-53 months). There were eight adverse events (0.8%), including five cerebrovascular (two major stroke, two minor strokes and one transient ischemic stroke), and three non-cerebrovascular events. Statistical comparison between groups with different admission lengths (1, 2, and ≥ 3 days) revealed no difference in the outcomes. Conclusion: This study revealed no difference in outcomes and adverse events according to the admission period, and suggested that UIA could be managed by outpatient day-care embolization.

결절성 양진 치험 1례 (A Case of Prurigo Nodularis)

  • 원영호;조영천
    • 한방안이비인후피부과학회지
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    • 제29권4호
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    • pp.232-238
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    • 2016
  • 저자들은 오랜 기간 경구 스테로이드제 및 항히스타민제와 국소 스테로이드제 사용에도 불구하고 호전이 되지 않은 극심한 소양감을 동반한 결절성 양진 환아에게 한의학적 변증치료와 식이요법을 통하여 유의한 치료효과를 보았다. 하지만 병행한 식이요법이 치료호전에 어떤 영향을 주었는지 확실히 밝히기 어렵고 결정성 양진의 성인형 및 다른 변증치료에 대한 임상례가 없어 향 후 이에 대한 더 많은 연구가 필요하다고 생각된다.

볼륨매선침을 병행한 매선침법의 안면주름 개선 효과 3례: 증례 연구 (A Case Report of facial wrinkles and folds improved by using the Thread Embedding Acupuncture (TEA))

  • 윤영희;임정태;안진향;이진혁;최예용;신정민
    • 한방안이비인후피부과학회지
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    • 제31권3호
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    • pp.97-106
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    • 2018
  • Objectives : Recently, Thread Embedding Acupucnture (TEA) targeting under dermis became known to be effective for facial wrinkles and folds; its practice has begun in clinics. The introduction of a new form of TEA is continuing, and 'Volume TEA' is introduced recently. Therefore, we would like to report on the improvement of facial wrinkles by using the recently introduced 'volume TEA'. Methods : We reviewed the medical records of three patients who received 'Volume TEA' treatment at a Korean medical clinic, the photographs taken before and after the procedure were corrected using a Photoshop program and the length of the each wrinkles and folds were measured. Results : The length of wrinkles measured in all three cases decreased. Especially, the decrease of the length of the nasolabial folds was obvious. In case 1, the length of the nasolabial folds of 177mm and 97mm were reduced to 94mm and 63mm, respectively. In the case 2, the length of the nasolabial folds of 155mm and 155mm were reduced to 0mm and 70mm, respectively, after the procedure. In case 3, the length of the nasolabial folds of 170mm and 50mm decreased to 38mm and 37mm after the procedure, respectively. Conclusions : At present, it seems that the ongoing accumulation of relevant studies on the efficacy and safety of wrinkle and folds of TEA seems necessary. This study also has some significance in the level of case report.

치과 임상에서 디지털기반 소프트웨어 의료기기의 적용 (Application of digital software as a medical devices in dental clinic)

  • 우건철;백세연;김성택
    • 구강회복응용과학지
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    • 제36권4호
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    • pp.203-210
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    • 2020
  • 현대사회는 4차 산업혁명 시대를 맞아 정보통신기술의 발달로 환자 개인 맞춤 의료서비스가 확대되고있다. 이러한 변화에 따라 질병의 진단, 환자 감시, 의사결정 지원에 디지털 의료기기가 활용되기 시작했으며 최근엔 장애나 질병예방, 관리 또는 치료하기 위한 목적의 소프트웨어 의료기기가 각광받고 있다. 본 종설은 현재 미국을 중심으로 활발하게 이뤄지고 있는 치료 목적의 소프트웨어에 대한 개념과 현황을 파악하고 앞으로 어떤 분야에서 적용될 수 있는지 알아보고자 한다. 또, 스마트 헬스케어와 관련된 국내 정책 동향을 파악해 다가올 의료계의 변화에 발맞춰 치과 임상에서 가능한 디지털기반 소프트웨어 의료기기의 적용에 대해 알아보고자 한다.

고방을 통한 정상안압 녹내장의 한방치험 1례 (A Case of Korean Herbal Medicine Treatment for Normal Tension Glaucoma using Go-Bang)

  • 한기은;강은정;이근섭
    • 대한한의학회지
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    • 제44권3호
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    • pp.102-116
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    • 2023
  • Objectives: To provide a case report of effective use of Korean herbal medicine treatment to reduce the development and progression of normal-tension glaucoma(NTG). Methods: This case involved a 52-year-old patient who had a history of excimer laser surgery at the age of 25 and was using prescriptions such as Cosopts2 and Xalatan for eye drops. We treated this patient with Korean herbal medicine treatment for 2 years and assessed the progression of NTG based on the optical coherence tomography test results that he recevied at the ophthalmology clinic every 6 months. Results: During the two years of treatment with Korean herbal medicine, it was observed that the progression of NTG was halted. However, after discontinuing the Korean herbal treatment, the progression resumed. Conclusion: Korean herbal medicine treatment was found to be effective in treating normal tension glaucoma, and a minimum treatment period of two years is necessary for an accurate evaluation of NTG.

『상한론(傷寒論)』 변병진단체계(辨病診斷體系)에 근거하여 한약 투여 후 호전된 일과성 열감 치험 1례 (A Case Report of Hot Flashes Treated by Herbal Medicine Based on Shanghanlun Provision)

  • 하현이;이지환;이성준
    • 대한상한금궤의학회지
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    • 제7권1호
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    • pp.127-132
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    • 2015
  • Objectives: The purpose of this case is to report the effects of Baekho-tang based on Shanghanlun disease pattern identification diagnostic system. Methods : According to diagnostic system based on Shanghanlun provisions, the patient was diagnosed as Gwoleum-byung(厥陰病). Visual analogue scale was used to check the symptoms while the patient taking herbal medicine Baekho-tang for 12 weeks. Results : After taking Baekho-tang, Visual analogue scale in hot flashes markedly decreased 9 to 1. Conclusions : This paper shows an efficient result of using Baekho-tang based on Shanghanlun disease pattern identification diagnostic system. Further studies should be needed to validate the effects of Baekho-tang.

가미 태음조위탕을 투여한 성인 비만 여성에서 수면과 체중감량과의 연관성 (The association between sleep and weight loss among adult women with obesity administered with Gamitaeeumjowee-tang)

  • 이엄지;박영배;임영우;김서영
    • 대한한의학회지
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    • 제41권3호
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    • pp.22-31
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    • 2020
  • Objectives: The purpose of this study was to investigate the association between sleep status and weight loss among adult women with obesity administered with Gamitaeeumjowee-tang. Methods: We retrospectively reviewed the medical records of 137 patients who were were administered with Gamitaeeumjowee-tang for 3 months for the purpose of weight loss. We divided subjects according to sleep duration and sleep quality. We conducted an independent t-test to compare the differences of weight loss between two groups. Also, a regression analysis was applied to determine which factors affected weight loss. Results: There was no significant difference in weight loss between patients who sleep more than 7 hours regularly and patients who sleep less than 7 hours. There was no significant difference between good sleepers and poor sleepers. Initial body mass index and the number of visits to the clinic were the significant factors in weight loss in 2-4 weeks. Initial weight loss was the significant factor in weight loss in 10-12 weeks. There was no significant correlation of sleep duration and sleep quality in weight loss in 2-4 weeks and 10-12 weeks. Conclusions: This study suggests that weight loss may not be affected by sleep status during Gamitaeeumjowee-tang intervention. ostachys japonicus, THP-1, acute myeloid leukemia, apoptosis, autophagy.