• 제목/요약/키워드: urinary incontinence

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중극(中極) 관원(關元) 혈입(穴位)를 이용한 전침 치료 야뇨 환아 3례 (Three cases report about enuritic children treated with electro-acupuncture on Zhongji(CV3), Guanyuan(CV4))

  • 장규태;김장현;오주영
    • 대한한방소아과학회지
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    • 제19권1호
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    • pp.103-115
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    • 2005
  • Objectives : Nocturnal enuresis is common disorder in children and has important negative effects on the self-image and performance of children. Thus Successful treatment needed to increase self-esteem. Many studies of this symptoms were reported. But electro-acupuncture treatment not reported in Korea. Methods : We treated three cases enuretic children with different types. Their diagnosis were non-monosymptomatic primary, monosymptomatic primary, monosymptomatic secondary nocturnal enuresis. We used electro-acupuncture on Zhongji(CV3), Guanyuan(CV4) for 20 min. To investigate relapse. at least for 4 months after the end of the therapy we followed-up by telephone. Results : After treatment, diurnal urinary symptoms, such as increased frequency of urination, urgency, incontinence were dramatically improved. And the number of wet night decreased with nocturia and delayed wetting time. Compared to pre-treatment, findings, the number of wet nights decreased 80% or more. Conclusion : All of them tolerated electro-acupuncture well and kept reduction at least for 4 months follow-up. Further study is needed with more cases.

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적절한 치료를 받은 결핵성 뇌막염 환자에게서 하지마비로 나타난 신경근 척수염 1예 (A Case of Tuberculous Radiculomyelitis Despite of Proper Antituberculous Treatment in a Patient of Tuberculous Meningitis)

  • 신대수;이영주;김진석;박현영;장혁;김요식;조광호
    • Annals of Clinical Neurophysiology
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    • 제7권1호
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    • pp.52-54
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    • 2005
  • Tuberculous radiculomyelitis (TBRM) is a complication of tuberculous meningitis (TBM), which has been reported rarely in the modern medical literature. We describe a case of TBRM, which developed during the treatment of TBM. A 28-year-old man suddenly developed lower back pain, flaccid paraparesis, urinary incontinence, while the TBM was improving with the treatment at 9th day after admission. Spinal MRI revealed leptomeningeal enhancement along with thoracolumbar spinal canal, thickening of nerve roots, spinal meninges and intramedullary high signal lesion in T2 level.

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중풍의 기능평가에 영향을 미치는 요인에 관한 임상적 고찰 (A Clinical Study on the Factors that Influence Functional Evaluation of Stroke)

  • 박숙자;권정남;김영균
    • 대한한의학회지
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    • 제23권4호
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    • pp.73-90
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    • 2002
  • Objectives: This study investigated significant factors that influence functional evaluation of stroke so as to be a fundamental data for estimating prognosis of stroke patients. Methods: 204 patients were studied within 7 days of admission, after the diagnosis of stroke through brain CT scan, brain MRI scan and clinical observations. They were hospitalized in the oriental medical hospital of Dongeui University from February to July in 2001. They were examined at the early stage of onset, after 2 weeks, 4 weeks and 6 weeks, and measured for average mark and the degree of improvement by using the Activity Index. Results: Ischemic stroke, past history of stroke, hypertension, diabetes mellitus, risk factor of obesity, non-professional emergency treatment and hospitalizing time after 1 day from onset, high blood pressure, tachycardia pulse and high blood sugar in abnormal vital sign in acute stage, conscious, cognitive or communication disorder, motor aphasia, dysphagia, constipation for more than 3 days, urinary incontinence, visual field defect, insomnia, and chest discomfort in early stage of onset had a negative influence on functional evaluation. Conclusions: Type of stroke, past history, risk factors, emergency treatment and hospitalizing time after onset, abnormal vital sign and intercurrent symptoms in Acute stage were relevant factors in predicting functional evaluation of stroke.

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지역사회 재가 여성노인의 칩거와 영향 요인 (Homebound status and Related Factors According to Age in Female Elders in the Community)

  • 최경원;박언아;이인숙
    • 대한간호학회지
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    • 제42권2호
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    • pp.291-301
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    • 2012
  • Purpose: The purpose of this study was to investigate homebound status and significant related factors for community-dwelling female elders according to age. Methods: The participants were female elders over 65 years of age registered in public health centers. Data were collected by interviewing the elders, who voluntarily completed the entire survey. For data analysis, descriptive statistics and multiple logistic regression were performed using SPSS version 18.0. Results: There were statistically significant differences in homeboundness and related factors between the young-old (65 to 74 years of age) and the old-old (75 years of age or older). The level of homeboundness of the old-old was higher than that of the young-old. Multiple logistic regression showed, timed "up and go", depression, and fear of falling as significantly associated with homebound status of the young-old, while hand grip strength (right), timed "up and go", static balance ability, severity of urinary incontinence, and fear of falling as significant for the old-old. Conclusion: The findings of this study indicate that homebound status and related factors for elders are different according to age, and therefore, interventions to prevent and help homebound elders get over being homebound should be developed according to age.

지속적 경막외 차단술 후 발생한 척수거미막염 (Spinal Arachnoiditis after Continuous Epidural Block)

  • 장항;김정호;강훈수
    • The Korean Journal of Pain
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    • 제10권2호
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    • pp.301-303
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    • 1997
  • A 35-year-old female patient was referred to our hospital with neurologic symptoms after continuous epidural block performed 2 days earlier. She die not have any prior no previous lumbar surgery or experience trauma, intraspinal hemorrhage, infections or other known causative factors to associate with neurologic symptoms. Continuous epidural block is widely used for postoperative pain control. Complications can occur with this block including postduralpuncture headache, epidural abscess and rare cases of arachnoiditis etc. We experienced such a case of spinal arachnoiditis after continuous epidural block. Neurologic examination revealed painful bilateral hypoesthesia below $S_2$ level dermatomes, urinary and fecal incontinence and various degrees of leg weakness. The following day, the patient was noted to have bilateral sacral radiculopathies and lesion on proximal portion of both tibial nerve. CSF study reported: protein 264 mg/dl, sugar 64 mg/dl, WBC $7/mm^3$. L-spine MyeloCTscan results were unremarkable. She was discharged after a month of hospitalization and has regular checkups but her neurologic symptoms show no signs of improvement.

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"동의보감(東醫寶鑑)" "소변문(小便門)"의 침구법(鍼灸法)에 관한 소고(小考) (A literature study of acupuncture and moxibustion therapy in the "the Urine" section (in the Naegyeong Chapter) of "Dong-Ui-Bo-Gam")

  • 김경민
    • 혜화의학회지
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    • 제19권1호
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    • pp.129-142
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    • 2010
  • Objectives : The aim of this study was to show the rationale of point-selection for acupuncture and moxibustion in "the Urine"section(in the Naegyeong Chapter) of "the Dong-Ui-BO-Gam". Methods : First, We reviewed the causes of each disease in "the Urine" section of the "Dong-Ui-BO-Gam". Then, We explained the rationale of acupoint-selection for the treatment of those diseases referring to etiology and physiology of Oriental medicine, other applications of each acupoints in the "Dong-Ui-BO-Gam", characteristic of each acupoints, flow of Gi (Qi) through meridian pathways and specific acupoints etc. Results : There are comments on acupuncture and moxibustion for dysuria, urinary frequency, incontinence of urine, urethral pain, turbid urine, erythroid urine, cystitis of women, urethral pain of women in the Urine section of the "Dong-Ui-BO-Gam". Conclusions : Conception vessel and Kidney meridian are preferably used for acupuncture and moxibustion in "the Urine" section of the "Dong-Ui-BO-Gam". CV4(Kwanwon) is most frequently used and Sp9($\bar{U}$mn$\bar{u}$ngch'$\breve{o}$n), SP6(Sameumgyo), Liv1(Taedon) are also used often.

경막외 스테르이드 주입후 발생한 하지마비 -증례 보고- (Paraplegia following Epidural Steroid Injection -A case report-)

  • 정소영;송장호;이미라;이홍식;박동호
    • The Korean Journal of Pain
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    • 제7권1호
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    • pp.106-112
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    • 1994
  • 45세 여자 환자에서 요하지통의 치료를 위해 triamcinolone 40 mg과 0.125% bupivacaine 10 ml를 경막외로 주입한후 24시간에 걸쳐 하지마비 및 해리성 감각소설이 발생하였다. 그 원인은 분명하지 않으나 선행절환의 악화, 급성 횡단성 척수염, 전척수동맥증후군, 그리고 신경독성등이 추정된다.

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동국대학교 일산한방병원 여성의학과에서의 귀비탕(歸脾湯) 임상 적용 사례 분석 연구 (An Analysis of Clinical Application of Guibi-tang for Obstetrics and Gynecological Disease)

  • 박장경;김동일
    • 대한한방부인과학회지
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    • 제24권2호
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    • pp.79-96
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    • 2011
  • Objectives: This study was to investigate clinical usage of Guibi-tang based on actual application in obstetrics and gynecology. Methods: This study investigated the number of patients who were prescribed Guibi-tang-gami-bang and what herbal medicines were adjusted according to their chief complaint from January 1st, 2007 to August 31th, 2008. Results: The number of patients who were prescribed Guibi-tang for obstetrics and gynecological diseases at the Department of Obstetrics and Gynecology was 721. Guibi-tang has been used to treat menstrual irregularity, postpartum general weakness, postpartum pantalgia, perimenopausal symptoms and postmenopausal syndrome most frequently. And Guibi-tang has been widely used in obstetric and gynecologic diseases such as general weakness after abortion or gynecological surgery, pelvic pain, dysmenorrhea, uterine myoma, endometriosis, infertility, premenstrual syndrome, urinary incontinence and breast disease. Conclusions: Guibi-tang can be used in obstetric and gynecologic diseases as described in classical oriental medicine literatures, and it is necessary to research clinical usage of Guibi-tang through randomized controlled trial.

Malignant Sertoli cell tumor in Shih Tzu dog

  • Kang, Sang-Chul;Yang, Hyoung-Seok;Jung, Ji-Youl;Jung, Eun-Hye;Lee, Hee-Chun;Hwang, Eui-Kyung;Kim, Jae-Hoon
    • 대한수의학회지
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    • 제51권2호
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    • pp.171-175
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    • 2011
  • Malignant Sertoli cell tumor was diagnosed in a 5-year-old male Shih Tzu dog. Clinical features of the dog were anorexia, urinary incontinence, constipation, anemia, alopecia, and epistaxis. The dog also had unilateral cryptorchid testis in the abdomen. Several abdominal and thoracic masses were identified on radiography. Grossly, the cryptorchid testicular mass was markedly enlarged to 8 cm in diameter. On cut surface, firm and well demarcated milk-white neoplastic areas were irregularly separated by white fibrous bands. Histologically, the testicular mass was diagnosed as tubular pattern Sertoli cell tumor. In addition, abdominal and mediastinal lymph nodes metastasis were found. Immunohistochemically, the tumor cells were strongly positive for vimentin and neuron specific enolase, but negative for S-100 and cytokeratin.

도시와 농촌 지역 성인여성의 생활양식, 건강실태 및 삶의 질 비교 (A Comparison of Lifestyle, Health Status and Quality of Life of Adult Women living in Urban and Rural Areas)

  • 양진향;권영숙
    • 기본간호학회지
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    • 제12권1호
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    • pp.6-14
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    • 2005
  • Purpose: This study was done to investigate the need to develop health promotion programs for adult women and to compare lifestyle, health status and quality of life in adult women in urban and rural areas. Method: The participants were women over 20 years old, 451 living in 3 cities and 436 living in 1 rural areas. Data collection was conducted from April 6 to August 30, 2004. Results: For lifestyle, the percentage of women having regular medical examinations, cholesterol tests, regular exercise, and high alcohol intake were significantly higher for urban women compared to the rural women. For health status, the percentage of women with health problems such as arthritic pain, urinary incontinence, pregnancy and postpartum complications, and the experience of violence were significantly higher for rural women compared to urban women. Rural women had significantly lower scores for health perception compared to urban women. For quality of life, rural women had significantly higher scores for quality of life, especially for the psychological wellbeing and stability subscales. Conclusion: The above findings indicate that it is necessary to develope a health promotion program which reinforces healthy lifestyle and health status for rural women, and quality of life, for urban women.

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