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      • 동측 반맹 및 시력저하를 호소하는 후두엽 및 측두엽 뇌출혈 환자 한의복합치료 1례

        성시윤,이다빈,이영선,조기호,문상관,정우상,권승원,이한결,Si Yun Sung,Dabin Lee,Youngseon Lee,Ki-Ho Cho,Sang-Kwan Moon,Woo-Sang Jung,Seungwon Kwon,Han-Gyul Lee 대한중풍순환신경학회 2023 대한중풍.순환신경학회지 Vol.24 No.1

        Background: Although not clarified, the overall prevalence of visual field loss after stroke was estimated at 52% of stroke survivors and for visual acuity loss, at 70% of them. Among visual field loss patients after stroke, homonymous hemianopia is the most common symptom. Visual defect degrades the quality of life by disrupting independent life and affecting the survival of the patients, but highly-evidenced treatment has not been found until now. ■Case report A 51-year-old female with left-side homonymous hemianopia and central vision loss by a right occipital-temporal hemorrhage was treated with Hyeolbuchukeo-tang, Ikgibohyeol-tang, acupuncture, electroacupuncture, and moxibustion. We used a confrontation visual field exam, automated perimetry and visual analog scale, and visual acuity test to observe changes in the patient's symptoms and evaluate the efficacy of the treatment. After 61 days of such interventions, the patient's subjective discomfort lessened, followed by positive changes in the scales of tests mentioned above. ■Conclusion This case suggests that combined Korean medicine treatment might be an effective tool for treating post-stroke homonymous hemianopia and central vision loss. More studies should be conducted to support the effectiveness of the treatment.

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        성시윤(Si Yun Sung),김혜연(Hye Yeon Kim) 대한모유수유한의학회 2023 nipple confusion,breastfeeding consultation,IBCLC, Vol.4 No.1

        Objectives: This study reviewed the components of human breast milk in terms of its nutritional and immunological aspects and discussed the relationship between breastfeeding and allergic diseases regarding gut microbiota. Methods: Pubmed, Google scholarship, and UptoDate scholastic were used as search sources. A combination of ‘Human breast milk’, ‘Breastfeeding’, ‘Allergic disease’, ‘Atopic dermatitis’, ‘Asthma’, ‘Allergic rhinitis’, and ‘Microbiota’ was used as a search term. Without regard to the year of publication, literature in both Korean and English was examined. Results: Breast milk contains large amounts of macronutrients, micronutrients, and immunologic components, meaning more than just nutritional benefits. It plays an important role in preventing infection and developing a mature immune system during the early period of life. Studies on the correlation between breastfeeding and allergic diseases such as atopic dermatitis, asthma, and allergic rhinitis have conflicting results. However, it is suggested that the delivery of immunologic components and changes in gut microbiota through breastfeeding lead to changes in the immune response, affecting the occurrence of allergic diseases such as atopic dermatitis, allergic rhinitis, and asthma. Conclusions: It is clear that breastfeeding has nutritional and immune benefits for infants It is expected that the exact causal relationship between breastfeeding and gut microbiota will be examined through further studies.

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