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배고은,조재현,최진용,서희정,심소현,권정남,홍진우,김소연,최준용,한창우,윤영주,박성하,이인,Bae, Go-eun,Cho, Jae-hyun,Choi, Jin-yong,Seo, Hee-jeong,Shim, So-hyun,Kwon, Jung-nam,Hong, Jin-woo,Kim, So-yeon,Choi, Jun-young,Han, Chang-woo,Yun, Y 대한한방내과학회 2017 大韓韓方內科學會誌 Vol.38 No.5
Purpose: To describe the effectiveness of traditional Korean medicine (TKM) on the patients with secondary dementia (case 1: Rt. MCA infarction; case 2: traumatic subacute subdural hemorrhage and traumatic intracranial hemorrhage; case 3: delayed encephalopathy after carbon monoxide poisoning). Methods: We used a complete TKM treatment. The acupoints used were as follows: acupoints frequently used in hemiparesis (GV20, GV24, ST4, LI11, LI14, ST36, GB34, SP9, and LR3), and we used herbal medicine (補腎益腦湯加味, Boshiniknoe-tang-gami). The efficacy was evaluated using the Mini-Mental State Examination for Dementia Screening (MMSE-DS) and the Modified Barthel Index (MBI). Results: After treatment, the total MMSE-DS score was increased from 14 to 24 (case 1), 14 to 19 (case 2), and 0 to 17 (case 3). The total K-MBI was increased from 30 to 44 (case 1), 82 to 86 (case 2), and 30 to 86 (case 3) Conclusions: We suggest that TKM could positively influence cognition and improve activity of daily living (ADL). This study has limitations, so further studies are needed.
일산화탄소 중독 이후 지연성 뇌손상에 대한 보신익뇌탕가미방의 효과 1례 : case report
배고은,박혜림,홍미나,조재현,최진용,홍진우,권정남,김소연,최준용,한창우,윤영주,박성하,이인,Bae, Go-eun,Park, Hye-lim,Hong, Minna,Cho, Jae Hyun,Choi, Jin Yong,Hong, Jin woo,Kwon, Jung Nam,Kim, So Yeon,Choi, Jun Young,Han, Chang Woo,Yun, Youn 대한중풍순환신경학회 2016 대한중풍.순환신경학회지 Vol.17 No.1
This case report is to show the effects of Traditional Korean medicine (TKM) on the patient with delayed encephalopathy after carbon monoxide poisoning. A patient with delayed encephalopathy after carbon monoxide poisoning occurs rarely and only a few cases have been reported. We treated a patient with cognitive deficit, gait disturbance was treated with herbal medicine(Boshiniknoe-tang-gami), acupuncture, moxibustion. We evaluated the improvements of symptoms by Korean Version of Mini Mental Status Examination score(K-MMSE), Modified Barthel Index(MBI) and Glasgow Coma Scale(GCS). After 3 weeks, total score of K-MMSE was increased from 12 to 17 and it was maintained to week 6. After 6 weeks, total score of MBI was increased from 30 to 86. And GCS was increased from 11 to 14. This report proved effect of Traditional Korean medicine on the improvement of delayed encephalopathy after carbon monoxide poisoning
항혈소판 응집 억제제(ASTRIX, PLAVIX) 복약 이후 하지 혈종 발생 사례 보고
배고은,조재현,최진용,심소현,서희정,홍진우,이인,김소연,최준용,한창우,윤영주,박성하,권정남,Bae, Go-eun,Cho, Jae-hyun,Choi, Jin-yong,Shim, So-hyun,Seo, Hee-jeong,Hong, Jin-woo,Lee, In,Kim, So-yeon,Choi, Jun-young,Han, Chang-woo,Yun, Young-ju 대한한방내과학회 2017 大韓韓方內科學會誌 Vol.38 No.5
Objective: Our aim was to report a case of hematoma in the lower extremity induced by anti-platelet agents (Astrix, Plavix). Methods: The patient was prescribed anti-platelet agents and a hematoma occurred three times in the lower extremity. Before admission, the hematoma had occurred in the lateral compartment area of left lower extremity ($2{\times}2cm$). We detected a spontaneous hematoma in the lateral compartment area of right lower extremity ($8{\times}4cm$) and we stopped the Astrix medication. We also used herbal medicine (大黃左經湯加味方 (Daehwangjwagyeong-tang-gami)), external therapy of 大黃梔子 (Dae-hwang-Chi-ja) powder, and wet cupping therapy. We then detected a spontaneous hematoma in the posterior compartment area of the left lower extremity ($5{\times}5cm$) and we stopped the Plavix medication. We also used herbal medicine and external therapy. Results: After cessation of the anti-platelet agents (Astrix, Plavix), no recurrence of hematoma was observed in lower extremity and there was no recurrence of cerebral infarction. Conclusions: When anti-platelet agents are administered, attention should be paid to the patient's age and adverse events of the drugs. Bleeding symptoms and adverse effects should be continuously monitored.
지주막하 출혈 후 발생한 심부정맥 혈전증 환자에 대한 한양방 병용치료 증례 보고 1례
배고은,최진용,심소현,서희정,서형범,홍진우,이인,김소연,최준용,한창우,윤영주,박성하,권정남,Bae, Go-eun,Choi, Jin-yong,Shim, So-hyun,Seo, Hee-jeong,Seo, Hyung-bum,Hong, Jin-woo,Lee, In,Kim, So-yeon,Choi, Jun-Yong,Han, Chang-woo,Yun, Young-ju 대한한방내과학회 2018 大韓韓方內科學會誌 Vol.39 No.2
Purpose: To report on a patient with subarachnoid hemorrhage and deep vein thrombosis treated with a combination of Korean and Western medicine. Methods: A patient diagnosed with subarachnoid hemorrhage and deep vein thrombosis was treated with herbal medicine (加減淸熱瀉濕湯 (Gagam-cheongyeolsaseub-tang)), acupuncture (GV2, GB20, LI11, LI4, TE5, GB34, ST36, SP9, ST38, GB39, SP6, LR3), moxibustion (CV6, CV9), and Western medicine for deep vein thrombosis and subarachnoid hemorrhage. To evaluate edema, one of the classic symptoms of deep vein thrombosis, we measured leg circumference at a specified time. Results: After taking Gagam-cheongyeolsaseub-tang and being treated with acupuncture, moxibustion, and Western medicine, the patient showed improvement in leg edema. The left calf circumference decreased from 37.5 cm to 34.5 cm. Conclusions: Korean medicine, acupuncture, moxibustion, and Western medicine may provide effective treatment for deep vein thrombosis in patients with subarachnoid hemorrhage, but further study is needed.
표준화된 의사 소통 도구와 시뮬레이션 방식을 사용한 구급대원 의사 소통 교육과정의 효과
배고은 ( Go Eun Bae ),정현수 ( Hyun Soo Chung ),홍주영 ( Ju Young Hong ),노지영 ( Jiyoung Noh ),조준호 ( Junho Cho ),김지훈 ( Ji Hoon Kim ) 대한의료커뮤니케이션학회 2020 의료커뮤니케이션 Vol.15 No.2
Background : Since primary emergency treatment should be performed appropriately and promptly, efficient and accurate communication between paramedics and medical staff is paramount to a successful primary emergency treatment and patient handover. The problem of the training program in Korea is that it concentrates more on in-class lectures, often delivered by non-medical specialists, who may lack in practical experience and without proper communication training. To solve this problem, we have devised a simulation based training that focuses on event debriefings and two-way communication. Methods : 62 paramedics from 3 stations enrolled in the study. 4 different courses with different emergency situations were created and each course was taken twice resulting in a total of 8 classes. All courses were based on actual cases. The curriculum consisted of subject lectures with guidelines, skill practice courses, and simulation courses based on hands-on method. In simulation courses, paramedics use standardized check list to communicate with medical specialists. All curriculums except subject lectures include debriefing, which allows free talking with educators comprised of medical specialists. In order to measure the educational impact, all students performed self-assessment through a structured questionnaire before and after the training. Results : Regardless different situations and paramedics’ education level, their performance and communication skills have improved after simulation training course. Paramedics mentioned learning skills in simulation course through communication with medical staffs as the biggest advantage. Conclusion : Receiving the simulation training with standardized communication tools is effective at enhancing the communication between the paramedics and medical staff.
빵효모 저장성 향상을 위한 동결보호제로서의 투라노스 활용 연구
배고은(Go-Eun Bae),최성원(Seong-Won Choi),이병호(Byung-Hoo Lee),유상호(Sang-Ho Yoo) 한국식품과학회 2022 한국식품과학회지 Vol.54 No.2
본 연구에서는 새로운 자당대체제인 투라노스의 동결건조 과정에서 빵효모로 널리 활용되고 있는 S. cerevisiae에 대한 동결보호 효과를 평가하였다. 빵효모 세포의 생존율은 동결보호제로서 투라노스를 첨가함에 따라 증가되는 것을 확인하였으며, 세포표면의 손상을 동결로부터 보호해주는 것을 규명하였다. 또한, 탈지유가 포함된 투라노스는 냉동보관 시(-20℃), 빵효모의 생존력이 크게 향상되는 것으로 확인되었으며, 이는 빵효모의 유통 과정에서 우수한 보존 효과를 기대할 수 있다. 따라서, 투라노스는 동결보호 능력이 강화된 신개념의 소재로서 활용이 기대된다. In this study, the protective effects of turanose on Saccharomyces cerevisiae (Baker’s yeast) were examined during the freeze-drying process to evaluate the feasibility of utilizing turanose as a novel cryoprotectant. The survival rate of the Baker’s yeast cells improved substantially with a cryoprotective medium containing turanose in a substitution-dependent manner. In accordance with these survival rates, the yeast cell surfaces became smoother as the turanose content increased. Turanose with skim milk maintained the viability of the Baker’s yeast, which improved substantially upon storage at -20℃. Thus, it is thought that turanose will exhibit excellent preservation effects during the distribution of Baker’s yeast. Finally, these results suggest that turanose has the potential to be used as a novel cryoprotectant against various microorganisms.
최진용,배고은,심소현,서희정,서형범,최준용,권정남,이인,홍진우,윤영주,박성하,김소연,한창우,Choi, Jin-yong,Bae, Go-eun,Shim, So-hyun,Seo, Hee-jeong,Seo, Hyung-bum,Choi, Jun-Yong,Kwon, Jung-nam,Lee, In,Hong, Jin-woo,Yun, Young-ju,Park, Seong- 대한한방내과학회 2018 大韓韓方內科學會誌 Vol.39 No.2
A 58-year-old woman came into our clinic with headache, dizziness, and malaise after an electrical injury. Even though she received conventional treatment about five weeks after the injury, the symptoms did not improve, and she decided to undergo traditional Korean medicine treatment. During a 20-day hospital stay with acupuncture and herbal medicine, the symptoms were reduced to about half, and after six months of further treatment in the outpatient clinic, there was no pain during the day and only moderate headaches occurred intermittently after intense physical activity. As far as we know, this is the first report to treat the aftereffects of electrical injury with traditional Korean medicine treatment. Hence, here we tried to fully describe and announce the detailed progress of the patient through this report.
임상실습 학생을 대상으로 한 위전도검사와 Nepean Dyspepsia Index(NDI) 설문검사와의 연관성 연구
최진용,배고은,심소현,서희정,서형범,최준용,권정남,이인,홍진우,윤영주,박성하,한창우,김소연,Choi, Jin-yong,Bae, Go-eun,Shim, So-hyun,Seo, Hee-jeong,Seo, Hyung-bum,Choi, Jun-yong,Kwon, Jung-nam,Lee, In,Hong, Jin-woo,Yun, Young-ju,Park, Seong- 대한한방내과학회 2018 大韓韓方內科學會誌 Vol.39 No.4
Objective: The aim of this study was to find a correlation between the Nepean Dyspepsia Index (NDI) and electrogastrography (EGG) in clinical practice students. Methods: In total, 28 students were enrolled. NDI and EGG were measured in all students. NDI was classified as abnormal when the score was 11 or more. In EGG, standard 1 was classified as abnormal if the preprandial or postprandial percentage of normal gastric slow waves of Ch3 was less than 70% or if power ratio of Ch3 was less than 1. Standard 2 was classified as abnormal if standard 1 was met or if the percentage of normal gastric slow waves of Ch3 decreased after meals. Results: NDI and EGG had no statistically meaningful correlation when standard 1 was used, but NDI and EGG had statistically meaningful correlation when standard 2 was used. Conclusions: These findings suggest that NDI and EGG are correlated and that EGG can be used to evaluate the degree of dyspepsia.
수천을 동반한 뇌교출혈 환자의 한의학적 치료 증례보고 1례
조재현,배고은,최진용,서희정,심소현,한창우,김소연,최준용,박성하,윤영주,이인,홍진우,권정남,Cho, Jae-hyun,Bae, Go-eun,Choi, Jin-yong,Seo, Hee-jeong,Shim, So-hyun,Han, Chang-woo,Kim, So-yeon,Choi, Jun-yong,Park, Seong-ha,Yun, Young-ju,Lee, In 대한한방내과학회 2017 大韓韓方內科學會誌 Vol.38 No.5
Objectives: We examined the effects of Sinbi-tang on a patient with pontine hemorrhage and respiratory disturbance. Methods: A patient diagnosed with pontine hemorrhage and respiratory disturbance was treated with herbal medicine and acupuncture. We checked the peripheral oxygen saturation ($SpO^2$) by oximetry three times a day, and obtained an average value. We evaluated the improvement of symptoms by changes in the average applied $O^2$ and average $SpO^2$. Results: After taking Sinbi-tang and treatment with acupuncture therapy, the patient showed improvement in respiratory disturbance. Applied $O^2$ was gradually decreased from 4 L/min to 0 L/min and $SpO^2$ was stabilized. Conclusions: Korean medicine may provide effective treatment for respiratory disturbance in patients with pontine hemorrhage, but further study is needed.