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서진우, 오명균, 성태경 상지대학교 한의학연구소 2019 尙志韓醫論文集 Vol.7 No.1
Objectives: This study was carried out analyze the current state of Dementia Service in Gangwon Province and to investigate the role of Korean Medicine specialist for Dementia Service in Gangwon Province. Methods: We referred the data of current state of Dementia in Gangwon Province from Central Dementia Center and Dementia Center of Gangwon Province. The data of Korean medicine Service of Dementia or mild cognitive impairment(MCI) was investigated from the services taken in several public health centers or local governments. Results: In Gangwon Province, the medical institutions and clinics are less than other region. The Korean Medicine specialist and clinics are excluded in Dementia Service in Gangwon Province. Many Korean Medicine Dementia or MCI Services were productive and significantly effective in improvement of cognitive function and depressive emotion. Conclusion: More educational program to Korean Medicine specialist and more connections between Korean Medicine clinics and Health centers are needed
Portal Vein Thrombosis in Minimal Change Disease
Gyuri Kim,Gyuri Kim,Su Jin Heo,Yoen Kyung Kee,Seung Hyeok Han 이화여자대학교 의과학연구소 2014 EMJ (Ewha medical journal) Vol.37 No.2
Among the possible venous thromboembolic events in nephrotic syndrome, renal vein thrombosis and pulmonary embolism are common, while portal vein thrombosis (PVT) is rare. This report describes a 26-year-old man with histologically proven minimal change disease (MCD) complicated by PVT. The patient presented with epigastric pain and edema. He had been diagnosed with MCD five months earlier and achieved complete remission with corticosteroids, which were discontinued one month before the visit. Full-blown relapsing nephrotic syndrome was evident on laboratory and clinical findings, and an abdominal computed tomography revealed PVT. He immediately received immunosuppressants and anticoagulation therapy. An eight-week treatment resulted in complete remission, and a follow-up abdominal ultrasonography showed disappearance of PVT. In conclusion, PVT is rare and may not be easily diagnosed in patients with nephrotic syndrome suffering from abdominal pain. Early recognition of this rare complication and prompt immunosuppression and anticoagulation therapy are encouraged to avoid a fatal outcome.
産後 乳汁不行의 한약 치료에 대한 중의학 임상 연구 동향- RCT를 중심으로 -
경희대학교 대학원 임상한의학과(Dept. of Clinical Korean Medicine, Graduate School, Kyung Hee University),이보람(Bo Ram Lee),권찬영(Chan Young Kwon),이은주(Eun Ju Lee),이지홍(Ji Hong Lee),장규태(Gyu Tae Chang) 대한모유수유한의학회 2016 대한모유수유한의학회지 Vol.2 No.1
Objectives: The purpose of this study is to provide clinical evidence of herbal medicine for postpartum hypogalactia by review of randomized controlled trials on the effect of herbal medicine for postpartum hypogalactia. Methods: We searched randomized controlled trials about herbal medicine of postpartum hypogalactia from the China National Knowledge Infrastructure (CNKI) (January 2012 to 16th September 2016). The selected literatures were assessed by Jadad scale. Results: 25 papers were selected from 570 studies. Analyses of selected studies indicated that the total effective rate was significantly higher in the herbal medicine treatment group, as compared to general treatment, placebo, western medicine or no treatment group. The most commonly used herbs were Angelicae Gigantis Radix (當歸), Vaccariae Semen (王不留行), Astragali Radix (黃芪), Tetrapanacis Medulla (通草), Codonopsis Pilosulae Radix (黨蔘), Glycyrrhizae Radix (甘草), Radix Ophiopogonis (麥冬), Ligustici Rhizoma (川芎), Bupleuri Radix (柴胡), Radix Rhapontici seu Echinopsis (漏蘆). There were no serious adverse events reported from herbal medicine treatment group during the treatment period. Conclusions: Herbal medicine has been shown as not only effective but also safe treatment on postpartum hypogalactia. This finding can be widely utilized in clinical practice and can form the basis for the development of clinical practice guidelines in future.
KBS한의원(Research Center of Korean Medicine),동국대학교 한의학연구소(Dong-Guk University),유정한의원(Yujung Clinic),조선영(Sun Young Cho),천병태(Byoung Tae Chun) 대한모유수유한의학회 2015 대한모유수유한의학회지 Vol.1 No.1
Mother and baby should be managed together from pregnancy to the postpartum health in order to continue successful breastfeeding. Korean medicine have been proven to care many years to administer the health of lactation women and baby, whereas chemical drug have relatively high risk of side effects in pregnancy and lactation. Korean Academy of Breastfeeding Medicine (KABM) should make an effort to show scientific excellence of Korean medicine and to develop diagnostic techniques of Korean medicine based on methodology of maternal and infant health. And KABM will continue various education, research and academic work, health care, counseling, and health service.
말기 암 환자에서 감염에 대한 항생제 사용 - 대한가정의학회 완화의학연구회 세미나에 기초한 -
정휘수,김대영,송경포,대한가정의학회 완화의학연구회,서상연,Jeong, Hwee-Soo,Kim, Dae-Young,Song, Kyoung-Po,Korean Family Medicine Palliative Medicine Research Group, Korean Family Medicine Palliative Medicine Research Group,Suh, 한국호스피스완화의료학회 2007 한국호스피스.완화의료학회지 Vol.10 No.1
말기 암 환자에서 감염에 대한 항생제 사용은 의학적 문제에 대해 해결해야 하는 의무와 임종을 앞둔 시점에 생명 연장으로 인한 환자의 고통증가에 대한 부담으로 명확하게 결정하기 어려운 문제이다. 대한가정의학회 완화의학연구회 세미나에서는 65세 남자환자로 직장암 말기에 악취를 동반한 광범위한 피부감염증으로 입원 후 국소 항생제 치료로 증상 호전 중 임종을 맞이한 증례를 토의하였고, 이를 통해 말기 암 환자에서 항생제 치료에 대한 문헌고찰과 토론 후 다음과 같이 의견을 제시하고자 한다. 항생제 치료 목적에 있어 증상조절을 고려해야 하며, 특히 요로계 감염이 있는 경우는 증상조절을 위해 항생제를 사용한다. 또한 감수성 검사를 통해 적절한 항생제를 처방해야 한다. 무엇보다도 우선적으로 고려되어야 할 점은 환자입장에서 무엇이 가장 득이 되는지를 생각하고, 항생제 사용에 대해 환자와 가족들의 의견을 존중하여 판단하며, 환자나 가족이 적극적으로 치료를 요구하는 경우에는 치료로 인한 득실에 대해 환자와 토의를 한 후 사용한다. Decision-making of antibiotics use in infected patients with terminal stage of cancer was difficult for physicians, because of responsibility of solving a medical problem and burden on patients distressed by worthless life expansion. Korean Family Medicine Palliative Medicine Research Group discussed this subject using a case of a 65 year-old male having terminal stage of sigmoid colon cancer with extended cutaneous infection who was treated local antibiotics, improved but expired at the 12th hospital day. We reviewed related literatures and proposed a guide for antibiotics use in inferred patients with terminal stage of cancer. Antibiotics should be used for symptom control as major indication, especially when patients suffered from urinary symptoms. Appropriate antibiotics should be chosen based or sensitivity test. the most important considering factor should be patient and family members' wish about antibiotics use.
Analysis of Research Trends in Korean Medicine Treatment for Guillain-Barre Syndrome in Korea
Jang Hyun Jin,Kim So Jeong,Department of Acupuncture and Moxibustion Medicine, College of Korean,최현규,이영록,차현지,Jeong Jeong Kyo,전주현,Kim Young-il 대한침구의학회 2022 대한침구의학회지 Vol.39 No.3
This review aimed to analyze Korean medicine treatment (KMT) methods used for Guillain-Barre syndrome (GBS) in studies from January 1, 2010, to December 21, 2021. Five online databases (KISS, SCIENCEON, DBpia, RISS, KMbase) were searched for GBS-related studies. A total of 14 case reports were selected. Various treatment methods for GBS such as acupuncture, herbal medicine, moxibustion, and cupping have been reported, and some included Western medication. Herbal medicine and acupuncture were the most frequently used treatment methods. The most common prescription for GBS was Shipjeondaebotang Gami, the most common herb used was Glycyrrhizae radix et rhizome, and the most common acupoints were ST36, LI11, TE5, and LI4. In moxibustion treatment for GBS, CV4 was commonly used, and in cupping treatment the low back and back-shu points and were mostly used. Further studies on Korean medicine treatment of GBS are necessary for standardization of treatment.