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가미쌍화탕으로 호전된 뇌졸중 후 중추성 통증 환자 치험 1례
신희연,이상화,이형민,양승보,조승연,박성욱,고창남,박정미,Shin, Hee-Yeon,Lee, Sang-Hwa,Lee, Hyoung-Min,Yang, Seung-Bo,Cho, Seung-Yeon,Park, Seong-Uk,Ko, Chang-Nam,Park, Jung-Mi 대한중풍순환신경학회 2017 대한중풍.순환신경학회지 Vol.18 No.1
■ Objectives The purpose of this case study is to report the effect of Gami SSanghwa-tang on a patient with central post-stroke pain. ■ Methods The patient was treated with herbal medicine Gami SSanghwa-tang, acupuncture, pharmaco-acupuncture, and moxibustion. The treatment effect was evaluated by Numerical Rating Scale(NRS), Neuropathic Pain Symptom Inventory(NPSI), and 36-item Short-form Health Survey(SF-36). ■ Results After the treatment, the NRS score of pain intensity was reduced from moderate to mild degree. The total NPSI score and subscores also decreased, as the various features of the pain were relieved. The SF-36 score increased, as the patient's quality of life improved. ■ Conclusion This case study suggests that Gami SSanghwa-tang, could be effective in reducing pain and improving quality of life of patients suffering from central post-stroke pain.
신희연 ( Hee-yeon Shin ),김동용 ( Dong-yong Kim ),권용주 ( Yong-ju Kwon ) 韓國生物敎育學會 2017 생물교육 Vol.45 No.1
The purpose of this study was to develop a digital textbook on blood circulation in junior high school science subject. The digital textbook was used the iBooks Author as the authoring tool. The iBooks Author is one of the popular authoring tools, which can be used intuitively and easily for non-expert developers. The developed digital textbook was adapted the diverse interaction widgets, such as gallery, media, dialogue-based image, pop-over, 3D, keynote, review, notepad, form builder, sketch pad, and etc. Using these widgets, the digital textbook is consisted of 6 sessions about two main sections; the composition and function of blood and the structure and function of heart. The developed digital textbook could be provided a prominent effectiveness on interactive communication and expanding knowledge and learning for learners. Moreover, the evaluation results on the digital textbook has been shown a favorable response in the aspects of self-directed learning, contents satisfaction, and effective feedback for students.
정신과 입원 환자의 자살 위험성 사정도구의 신뢰도, 타당도 검증
신희연 ( Hee Yeon Shin ),신이수 ( Yi Soo Shin ),주정혜 ( Jung Hye Ju ),장향순 ( Hyang Sun Jang ),홍진영 ( Jin Young Hong ),전홍진 ( Hong Jin Jeon ),유범희 ( Bum Hee Yu ) 한국간호과학회 정신간호학회(구 대한간호학회정신간호학회) 2012 정신간호학회지 Vol.21 No.1
Purpose: Assessment of suicide risk is a critical task for nurses, especially for nurses working with psychiatric inpatients. The purpose of this study was to verify the reliability and validity of the Nurses` Global Assessment of Suicide Risk (NGASR) for psychiatric inpatients. Methods: This study was methodological study. A scale composed of 15 items was used with 106 psychiatric inpatients in open and closed psychiatric units of a tertiary hospital. Cohen`s kappa coefficient, Intraclass correlation, factor analysis and Jonckheere-Terpstra Test for Ordered Alternatives were used for statistic analysis. Results: Main results were as follows; Reliability of the scale was supported with a total intraclass correlation coefficient of .890 (range from .722 to 1.000). In investigating construct validity, 15 items loaded on six factors which explained 63.4% of total variance. Also the Jonckheere- Terpstra test revealed a significant trend in the order of median scores of NGASR across the three groups of Evaluation of Suicide Risk (ESR). These results supported the criterion-related validity of the scale. Conclusion: The findings in this study indicate that this scale is reliable and valid in assessing suicide risk of psychiatric inpatients. Therefore it is an appropriate scale to assess suicide risk for psychiatric inpatients.
우측 상지 소력감을 주소로 하는 특발성 다발신경병증 남환 치험 1례
이상화,신희연,이형민,정혜선,조승연,박성욱,박정미,고창남,양승보,Lee, Sang-Hwa,Shin, Hee-yeon,Lee, Hyoung-Min,Jeong, Hye-Seon,Cho, Seung-Yeon,Park, Seong-Uk,Park, Jung-Mi,Ko, Chang-Nam,Yang, Seung-Bo 대한중풍순환신경학회 2018 대한중풍.순환신경학회지 Vol.19 No.1
A patient with right upper limb weakness was diagnosed with idiopathic polyneuropathy and received a series of Korean Medicine including acupuncture, electroacupuncture, bee venom acupuncture, and administration of herbal medicine BacJung-hwan for 17 days of hospitalization period. The progression of the weakness was measured by Hand grip tester, neuralgia and numbness were measured by the NRS(Numerical Rating Scale) scores. After treatment, the right grip strength improved from 12kg to 35kg and the right upper limb neuralgia of the NRS5 was improved to NRS2. The present case study suggests that the potential effects of Korean Medicine treatment for idiopathic polyneuropathy.
이상화,신희연,김정화,김연진,조승연,박정미,고창남,박성욱,Lee, Sang-hwa,Shin, Hee-yeon,Kim, Jeong-hwa,Kim, Yeon-jin,Cho, Seung-yeon,Park, Jung-mi,Ko, Chang-nam,Park, Seong-uk 대한한방내과학회 2017 大韓韓方內科學會誌 Vol.38 No.5
Objectives: The objective of this study was to report a clinical case that suggests potential beneficial effects of Korean medicine therapy for the treatment of levosulpiride-induced acute dyskinesia. Methods: A patient having drug-induced acute dyskinesia was given a series of Korean medicine therapy treatments, including administration of the herbal medicine Chengsimyeonja-tang-gamibang, acupuncture, electroacupuncture, pharmacopuncture, and moxibustion over the 17 days of the hospitalization period. During the therapy, the progression of the disease was measured by the Abnormal Involuntary Movement Scale (AIMS). Results: During the therapy, the remission of orofacial dyskinesia and improvement of AIMS scores were observed. Conclusion: Korean medicine therapy has potential benefits for the treatment of drug-induced acute dyskinesia.
가미귀비탕을 포함한 한방치료로 회상기억이 향상된 뇌졸중 후 인지저하 환자 2례
김정화,이형민,신희연,김하리,양승보,조승연,박성욱,고창남,박정미,Kim, Jeong-Hwa,Lee, Hyeong-min,Shin, Hee-yeon,Kim, Hari,Yang, Seung-Bo,Cho, Seung-Yeon,Park, Seong-Uk,Ko, Chang-Nam,Park, Jung-Mi 대한중풍순환신경학회 2018 대한중풍.순환신경학회지 Vol.19 No.1
■ Objectives This case study is to report the two cases of Gami-Guibitang on cognitive impairment after stroke with improved recall memory. ■ Methods We used Korean medicine treatments including Gami-guibitang, acupuncture and moxibustion to treat patients who had cognitive impairment after stroke for at least two months. We observed the changes of symptoms by measuring Korean version of Mini-mental status examination (MMSE-K), Clinical Dementia Rating (CDR) and Global Detration Scale (GDS). ■ Results After treatment, the patient's symptoms were improved including MMSE-K, CDR and GDS. Improvement appeared to be prominent in recall memory. The general condition were also improved after treatment. ■ Conclusion This clinical case study suggests that Korean medicine including Gami-guibitang could be used to treat patients who had cognitive impairment after stroke especially suffering from degraded recall memory.
한의학적 치료로 호전된 Cardiorenal Syndrome 환자 치험 1례
김정화,이형민,신희연,김연진,조승연,박정미,박성욱,고창남,Kim, Jeong-hwa,Lee, Hyeong-min,Shin, Hee-yeon,Kim, Yeon-jin,Cho, Seung-yeon,Park, Jung-mi,Park, Seong-uk,Ko, Chang-nam 대한한방내과학회 2017 大韓韓方內科學會誌 Vol.38 No.5
Objectives: This clinical study is to report Gami-Siryong-tang treatment of edema in a patient with cardiorenal syndrome (CRS). Methods: We used Gami-Siryong-tang, acupuncture, and moxibustion to treat a patient with CRS who had edema as a chief complaint, while the patient was hospitalized for 2 weeks. We observed the changes in symptoms by measuring body weight and calf girth. Results: After treatment, the patient's symptoms including edema and dyspnea, and the general condition were improved. The body weight and calf girth were also reduced after treatment. Conclusion: Korean medicine, including Gami-Siryong-tang, may be useful for treatment of edema due to CRS.
소음인(少陰人) 망양병(亡陽病)으로 진단한 만성 다한증 증례 1례
김하리,정혜선,신희연,김정화,양승보,조승연,박성욱,고창남,박정미,Kim, Ha-Ri,Jeong, Hye-Seon,Shin, Hee-Yeon,Kim, Jeong-Hwa,Yang, Seung-Bo,Cho, Seung-Yeon,Park, Seong-Uk,Ko, Chang-Nam,Park, Jung-Mi 대한중풍순환신경학회 2018 대한중풍.순환신경학회지 Vol.19 No.1
■ Objectives The purpose of this case study is to report the effectiveness of Korean medicine in the treatment of chronic hyperhidrosis. ■ Methods The patient was diagnosed as a Soeumin Mang-yang Syndrome, and treated with Korean medical treatment such as Sungyangikgibuja-tang and acupuncture treatment. The severity of symptom was assessed using Numerical Rating Scale (NRS) and follow-up of Hyperhidrosis Quality of Life Index (HidroQOL) ■ Results After treatment, the severity of hyperhidrosis was decreased from NRS 10 to NRS 2, HidroQOL score was also decreased from 32 to 19. ■ Conclusion Korean medical treatment for hyperhidrosis was effective in decreasing the NRS and HidroQOL score. The results suggest that Korean medical combined treatment including Sungyangikgibuja-tang and acupuncture treatment can be a effective option for treating hyperhidrosis.
뇌졸중 후 양안의 동측 상방 수평반맹을 호소하는 환자 한의 치험 1례
최정우,김서영,김하리,신희연,양승보,조승연,박성욱,고창남,박정미,Choi, Jeong-Woo,Kim, Seo-Young,Kim, Ha-Ri,Shin, Hee-Yeon,Yang, Seung-Bo,Cho, Seung-Yeon,Park, Seong-Uk,Ko, Chang-Nam,Park, Jung-Mi 대한중풍순환신경학회 2019 대한중풍.순환신경학회지 Vol.20 No.1
■ Objectives The purpose is to report the case of Korean medicine in the treatment of bilateral superior altitudinal hemianopia after a stroke. ■ Methods The patient was treated with acupuncture, electroacupuncture, bee venom, and herbal medicine. The visual field defect was assessed using humphrey visual field analyzer and confrontation visual field test. ■ Results After treatment, humphrey visual field analyzer and confrontation visual field test showed improvement in field of vision ■ Conclusion This study suggested that Korean medical treatment could be an effective option for treating visual field defect after stroke.
이형민,김정화,양승보,신희연,조승연,박정미,고창남,박성욱,Lee, Hyoung-Min,Kim, Jeong-Hwa,Yang, Seung-Bo,Shin, Hee-Yeon,Cho, Seung-Yeon,Park, Jung-Mi,Ko, Chang-Nam,Park, Seong-Uk 대한중풍순환신경학회 2017 대한중풍.순환신경학회지 Vol.18 No.1
■ Objective This is a case report about monocular abducens nerve palsy in a patient with pontine infarction. ■ Method At the time of onset, the patient had eye movement impairment in right eye and diplopia. Brain MRI image showed that there was an infarction in the right pons where the nucleus of abducens nerve is located. There was no obvious improvement in the eye movement before he received Korean medicine treatment. He recieved Korean medicine including acupuncture, electroacupuncture, pharmacoacupuncture and herb medicines for fifty three days. ■ Result After treatment, the movement of right eye was improved to a normal range. The difference in distance from 'center of the pupil' to 'external canthus of the eye' at maximum abducent in both eye changed 0.9cm to 0.1cm at the discharge. In addition, Diplopia was improved at the discharge. ■ Conclusion This case report demonstrated that the Korean medicine treatment is effective to diplopia and eye movement impairment from abducens nerve palsy caused by pontine infarction.