• 제목/요약/키워드: patient global assessment

검색결과 122건 처리시간 0.029초

태음인 조열병증(燥熱病證)으로 진단한 원인불명의 팔다리 저림 및 위약감 환자 치험 1례 (A Case Study of a Taeeumin Patient with Paresthesia and Weakness in the Limbs of Unknown Cause Diagnosed as Dry-Heat (Joyeol) Pattern)

  • 이미숙;배나영
    • 사상체질의학회지
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    • 제27권3호
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    • pp.346-355
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    • 2015
  • Objectives The aim of this study was to report significant improvement of paresthesia and weakness in the limbs of unknown cause after treatment with Mangeummoonmu-tang and Cheongeummoonmu-tang in a Taeeumin patient. Methods The patient was diagnosed as Taeeumin Dry-Heat (Joyeol) pattern and treated with Mangeummoonmu-tang, Cheongeummoonmu-tang and acupuncture. The patient's subjective symptoms of paresthesia and weakness were observed using Global Assessment Scale (GAS) during the treatment period. Results and Conclusion The symptoms of paresthesia and weakness decreased from GAS 100 to GAS 0 for two weeks. Furthermore, the patient's symptoms of fatigue and xeroderma were reported to be improved after treatment. In conclusion, this study shows that Sasang constitutional medicine can be effective treatment for Taeeumin patient with paresthesia and weakness in the limbs of unknown cause.

청심연자탕으로 호전된 메니에르병 환자 치험 1례 (A Case Study of a Taeeumin Patient with Meniere's Disease Treated with Cheongsimyeonja-tang)

  • 이미숙;박유경;배나영
    • 사상체질의학회지
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    • 제26권3호
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    • pp.328-337
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    • 2014
  • Objectives The aim of this study was to report significant improvement of vertigo, tinnitus and aural fullness after treatment with Cheongsimyeonja-tang in a Taeeumin patient with Meniere's disease. Methods The patient was diagnosed with Taeeumin Dry-heat symptomatic pattern and treated with Cheongsimyeonja-tang and acupuncture. The patient's subjective symptoms of vertigo, tinnitus and aural fullness were observed using Global Assessment Scale (GAS) during the treatment period. Results & Conclusions The symptoms of vertigo, tinnitus and aural fullness decreased from GAS 100 to GAS 0 for seven weeks. Furthermore, the patient's symptoms of insomnia, urinary frequency, chest discomfort and fatigue were reported to be improved after treatment. In conclusion, this study shows that Sasang Constitutional Medicine can be effective treatment for Taeeumin patient with Meniere's disease diagnosed as Dry-heat symptomatic pattern.

비정형파킨슨증후군 태음인의 어지럼증과 보행장애 치험례 (A Case-Study of Taeeumin Patient with Atypical Parkinsonian Disorders Having Dizziness and Gait Disturbance)

  • 박지은;김국화;이슬;이용재;이정윤
    • 사상체질의학회지
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    • 제34권3호
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    • pp.69-80
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    • 2022
  • A 52-year-old female diagnosed with Atypical Parkinsonian Disorders (APD) about one year ago suffered from dizziness and gait disturbance. The patient was identified as Taeeumin esophagus-cold lung-dry symptomatology pattern and was treated with Jowisengcheong-tang. The patient's symptoms of dizziness and night sweats were assessed using Global Assessment Scale (GAS). And, the Unified Multiple System Atrophy Rating Scale (UMSARS) and the Unified Parkinson's Disease Rating Scale (MDS-UPDRS) were used to assess the overall function of the patient. The patient's symptoms of dizziness and night sweats were significantly improved, and UMSARS and MDS-UPDRS scores were decreased. This case showed that Sasang constitutional medicine treatment can improve APD symptoms and improve the quality of life of the patient.

HbA1C value and Pre-diabetes Early Detection in the Independent Community Pharmacy

  • Oh, C.T.
    • 대한약학회:학술대회논문집
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    • 대한약학회 2003년도 Proceedings of the Convention of the Pharmaceutical Society of Korea Vol.2-2
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    • pp.72.2-72.2
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    • 2003
  • Lifestyle change in the world is spawning an epidemic of Global Obesity. (Newsweek August 11. 2003) People with overweight are at great risk of developing Type II diabetes. The A1C value provides an objective assessment of glucose control over the previous six to eight weeks. The American Diabetes Association recommended values for blood glucose and A1C appear in TABLE 4. In case one who was found to have >7% HbA1C, he(she) may be a patient with pre-DM or DM II. (omitted)

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Comparison of Multiple Chronic Obstructive Pulmonary Disease (COPD) Indices in Chinese COPD Patients

  • Zhang, Jinsong;Miller, Anastasia;Li, Yongxia;Lan, Qinqin;Zhang, Ning;Chai, Yanling;Hai, Bing
    • Tuberculosis and Respiratory Diseases
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    • 제81권2호
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    • pp.116-122
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    • 2018
  • Background: Chronic obstructive pulmonary disease (COPD) is a serious chronic condition with a global impact. Symptoms of COPD include progressive dyspnea, breathlessness, cough, and sputum production, which have a considerable impact on the lives of patients. In addition to the human cost of living with COPD and the resulting death, COPD entails a huge economic burden on the Chinese population, with patients spending up to one-third of the average family income on COPD management in some regions is clinically beneficial to adopt preventable measures via prudent COPD care utilization, monetary costs, and hospitalizations. Methods: Toward this end, this study compared the relative effectiveness of six indices in predicting patient healthcare utilization, cost of care, and patient health outcome. The six assessment systems evaluated included the three multidimensional Body mass index, Obstruction, Dyspnea, Exercise capacity index, Dyspnea, Obstruction, Smoking, Exacerbation (DOSE) index, and COPD Assessment Test index, or the unidimensional measures that best predict the future of patient healthcare utilization, cost of care, and patient health outcome among Chinese COPD patients. Results: Multiple linear regression models were created for each healthcare utilization, cost, and outcome including a single COPD index and the same group of demographic variables for each of the outcomes. Conclusion: We conclude that the DOSE index facilitates the prediction of patient healthcare utilization, disease expenditure, and negative clinical outcomes. Our study indicates that the DOSE index has a potential role beyond clinical predictions.

기립성 저혈압이 있는 진행된 파킨슨병 태음인 환자 치험 1례 (A Case Study of a Taeeumin Patient with Advanced Parkinson's Disease Having Orthostatic Hypotension)

  • 이미숙;박유경;배나영
    • 사상체질의학회지
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    • 제28권2호
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    • pp.193-204
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    • 2016
  • Objectives This case study is about a Taeeumin patient with advanced Parkinson's disease identified as Dry-heat (Joyeol) pattern. In this study, we report significant improvement of non-motor and motor symptoms after treatment with Cheongsimyeonja-tang.Methods The patient was identified as Taeeumin Dry-heat (Joyeol) pattern and treated with Cheongsimyeonja-tang and acupuncture. The Unified Parkinson Disease Rating Scale (UPDRS) was used to assess the overall functions of the patient. And the global assessment scale (GAS) was used to assess the improvements of dizziness, bradykinesia and tremor after the treatment.Result and Conclusion The UPDRS total score decreased from 138 points to 86 points after 5 weeks treatment. And symptoms of dizziness caused by hypotension, bradykinesia, and tremor showed significant improvement in GAS after the treatment. Furthermore, sleep disturbance and constipation were reported to be improved after the treatment. In conclusion, this study shows that Sasang constitutional medicine can be effective treatment for Taeeumin patient with advanced Parkinson's disease having orthostatic hypotension.

태음인 조열증으로 진단한 파킨슨병 환자의 치험 1례 (A Case Study of a Taeeumin Patient with Parkinson's Disease Diagnosed as Dry-heat Symptomatic Pattern)

  • 김소형;최은주;배나영
    • 사상체질의학회지
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    • 제29권4호
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    • pp.376-386
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    • 2017
  • Objectives This case study is about a Taeeumin patient with Parkinson's disease identified as Dry-heat (Joyeol) pattern. In this study, we report significant improvement of motor and non-motor symptoms of this patient after Sasang constitutional medicine treatment. Methods The patient was identified as Taeeumin Dry-heat pattern and treated with Cheongsimyeonja-tang and acupuncture. The Unified Parkinson Disease Rating Scale(UPDRS) was used to assess the overall function of the patient. And the Global Assessment Scale (GAS) was used to assess the change of bradykinesia, tremor and dry mouth after the treatment. Results The UPDRS total score decreased from 145 points to 77 points after 5 weeks treatment. And symptoms of bradykinesia, tremor and dry mouth showed significant improvement in GAS after the treatment. Furthermore, constipation, sleep disturbance, dysuresia and anorexia were reported to be improved after treatment. Conclusions This study shows that Sasang constitutional medicine can be effective treatment for motor and non-motor symptoms caused by Parkinson's disease.

FCST 치료로 호전된 틱장애 환자 치험 1예 (A Case Report of Motor Tics Improved by Intraoral Appliance of FCST)

  • 엄태민;김현태;유호룡
    • 턱관절균형의학회지
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    • 제5권sup호
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    • pp.6-10
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    • 2015
  • 본 증례에서는 발병한지 3개월된 틱장애에 대해 약 7개월 간의 FCST 치료법이 양호한 치료효과가 있는 것을 관찰하였다. 틱장애 증상의 정도는 YGTSS를 통하여 평가하였으며, 1주(${\pm}1$일)간격으로 방문때마다 측정이 이루어졌다. YGTSS 점수가 치료 도중 몇차례 초진 시 측정점수인 24점보다 상승한 적이 있었으나 곧 호전되었으며, 최종 치료 종결시에는 5점으로 초진 점수에 비해 현저하게 호전된 것을 관찰할 수 있었다. 그리고 이 호전된 상태는 추적관찰 중에서 2015년 10월 현재까지도 지속되고 있는 것으로 확인되었다. 이에 저자는 본 증례를 FCST 치료를 통하여 틱장애를 호전시킨 유의한 증례라고 판단하여 보고하는 바이다.

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새싹테라피 3단계를 이용한 위축성 여드름 흉터 치료 20례 (Clinical Reports on Atrophic Acne Scar Treatment with Sae-ssack Therapy)

  • 고남경;하진희;이용호;최혜미
    • 한방안이비인후피부과학회지
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    • 제30권1호
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    • pp.126-135
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    • 2017
  • Objectives : The purpose of this study was to evaluate the therapeutic efficacy of Sae-ssack(sprout) therapy on atrophic acne scars. Methods : Twenty patients had atrophic acne scars on the face were treated with Sae-ssack therapy. Sae-ssack therapy consists of a total of three treatments, a first-stage Sae-ssack acupuncture, a second-stage texture treatment, and a third-stage anti-pigmentation therapy. The evaluation of the treatment effect was made by the Korean medical doctor who did not participate in the procedure, and the PGA(Physician's Global Assessment), QGASC(Qualitative Global Acne Scarring Grade System) and patient satisfaction were used as the evaluation index. Results and Conclusions : According to the above indicates, the Sae-ssack therapy was evaluated to be effective in the repair of atrophic acne scars. There were no visible or consistent side effects and patient satisfaction was also very high.

영양교육이 혈액투석환자의 영양상태에 미치는 효과 (Effects of Nutrition Education on Nutritional Status of Hemodialysis Patients)

  • 양정례;서혜정;김양하
    • Journal of Nutrition and Health
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    • 제36권7호
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    • pp.749-758
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    • 2003
  • Malnutrition is a common problem in patients undergoing maintenance hemodialysis (HD) and compromised food intake is an important cause. Malnutrition is one of the important factors influencing mortality in these patients. This study was conducted to evaluate the effectiveness of nutrition education at improving nutritional status of 23 Korean HD patients (mean : 48.6 $\pm$ 10.4 years, men : 8, women : 15). Anthropometric indices, nutrient intakes, and biochemical blood indices were measured before and after a 6-month nutrition education intervention. Anthropometric indices such as percent ideal body weight [PIBW (%)], body fat, body mass index (BMI), mid-arm circumference (MAC), mid-arm muscle circumference (MAMC), and calculated arm muscle area (CAMA) of subjects were within the normal range and not changed by nutrition education. Subjective global assessment (SGA) was significantly increased (p < 0.05) after nutrition education. Intake of total energy, carbohydrate, lipid, Ca, and vitamin B1 was increased significantly (p < 0.05) but intake of phosphorus, potassium, and sodium was decreased (p < 0.05). The serum concentrations of albumin, total protein, and Ca were significantly increased (p < 0.05), but levels of P and K were decreased (p < 0.05) after the intervention. These findings suggest that nutrition education for HD patients can be effective for positively changing nutrient intakes, leading to improvements in blood indices and nutritional status.