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유승민,유승연,김민희,윤영희,최인화,Yu, Seung-Min,Yoo, Seung-Yeon,Kim, Min-Hee,Yun, Young-Hee,Choi, In-Hwa 대한한방안이비인후피부과학회 2011 한방안이비인후피부과학회지 Vol.24 No.3
Background : There are findings indicating that the autonomic nervous system (ANS) is affected negatively in atopic dermatitis (AD). Heart rate variability (HRV) is a tool to examine ANS. But, studies investigation the relationship between AD and HRV is rare. Objective : The aim of this study was to investigate the correlation between atopic dermatitis severity and HRV and to find out the role of ANS in AD. Methods : Retrospective chart review was performed. The Severity Scoring Atopic Dermatitis (SCORAD) index and HRV parameter was investigated and analyzed. Results : There were 55 patients (25males and 30 females) who met the criteria. Objective SCORAD had significant positive correlation with HRT and Subjective SCORAD had significant negative correlation with SDNN, TP and VLF. Intensity item of SCORAD index had negative correlation with most HRV parameters, but TP, LF and LF/HF ratio had significant positive correlation with dryness. Conclusion : This study supports the concept that atopic dermatitis is a stress-responsive disorder and involves autonomic nervous system dysfunction.
유승민,윤영희,손병국,최인화,Yu, Seung-Min,Yun, Young-Hee,Son, Byeong-Kook,Choi, In-Hwa 대한한방안이비인후피부과학회 2009 한방안이비인후피부과학회지 Vol.22 No.3
5개월 동안 외래를 통해 꾸준한 약물치료 및 외치요법을 실시하여 호전되던 중 재발한 중증의 아토피피부염 소아환자에게 10일간의 단기입원치료를 통하여 약물치료 뿐만 아니라 한약 외용제,습포제 및 기타 치료 및 교육을 적극적으로 실시한 결과 객관적인 SCORAD score 및 주관적인 평가에서 긍정적인 변화가 있었음을 확인할 수 있었다. 한 명의 동일한 환자에게 증상의 정도가 비슷한 상태에서 외래와 입원이라는 방법으로 똑같은 치료를 수행했을 때, 다른 결과가 나왔는데 이는 집에서 자가적 치료가 원활하게 이루어지지 않았기 때문으로 생각되며, 단기입원을 통한 아토피피부염 치료는 외래치료의 한계를 극복하는 대안이 될 수 있을 것으로 기대된다. Background : Atopic dermatitis is chronic exzemaous dermatitis and the recurrence rate of atopic dermatitis is high. Many patients are suffering from pruritus. Objective : This study compared ambulatory care with hospitalization for atopic dermatitis treatment of one patient, and investigated the effect of Oriental medicine program for atopic dermatitis patients during short term hospitalization. Method : We treated a 5 year-old boy with uncontrollable atopic dermatitis by ambulatory care and hospitalizaion. Herbal medication and herbal dressing was done samely during ambulatory care and hospitalization. Intensive life management, education for compliance was done only during hospitalization. Results : Even though he had been treated for 5 months by ambulatory care, he still suffered from severe itching, erythema, oozing and insomnia. Admission duration was 10 days. During admission, the SCORAD scores and subjective scores were decreased rapidly. Conclusion : We concluded that effects of the treatments can be different due to compliance of the patient and in that view the short term hospitalization program could be more helpful than ambulatory care for uncontrollable atopic dermatitis patients.
유승민,윤영희,손병국,최인화,Yu, Seung-Min,Yun, Young-Hee,Son, Byeong-Kook,Choi, In-Hwa 대한한방안이비인후피부과학회 2009 한방안이비인후피부과학회지 Vol.22 No.1
Background : Recently the number of atopic dermatitis patients has increased, but the treatment of atopic dermatitis is not effective, and the recurrence rate of atopic dermatitis is high. Many patients are suffering from pruritus. A new standard treatment system is needed. Objective : This study investigated the effect of Oriental medicine program for atopic dermatitis patients during short term hospitalization. Method : 6 patients were admitted for short term hospitalization program. The program includes Acupuncture, herbal medicine, examination, education, cupping therapy, herbal dressing, exercise and etc. Everyday we evaluated the patients by Severity Scoring Atopic Dermatitis(SCORAD) index and took the photos of lesions, and the patients evaluated themselves by atopic dermatitis diary which consists of emotion, pruritus, sleep loss. Results : Admission duration was 7 to 14 days. The SCORAD scores of them were decreased. Most symptoms of 6 patients were improved. Especially herbal dressing was effective for severe oozing. Subjective scores of atopic dermatitis diary were reduced. Conclusion : We expect that the short term hospitalization program could be helpful for uncontrollable atopic dermatitis patients.
MDCT의 정량적 분석 Software를 통한 Mandible의 Bone Mineral Density에 대한 고찰
유승민(Seung Min Yun),강선우(Sun Woo Kang),이숙희(Sook Hee Lee),김형기(Hyeong Ki Kim),성열훈(Yeol Hoon Seong) 대한CT영상기술학회 2011 대한CT영상기술학회지 Vol.13 No.2
I. Purpose To find Sensitivity of Mandible QCT and significance in two tests by comparing T-Score value between Mandible QCT and DEXA. II. Meterial and Methods From March 2, 2010 To May 4, 2010, the Target is total 20 patients performed QCT and DEXA scan at the same time. The average age is 70.7 years old, the men is 5 patients, 15 patients were women. To compare the significance Between QCT and DEXA, Each study were compared and analized by measuring the average T-Score values. Extended Brilliance Workspace (Version 3.5, Philips Medical System, Netherlands) was used as analize devices of QCT T-Score and The Lunar Dual Energy X-Ray Bone Densitometa (Prodigy Advance, GE Health care) was used as analize device of DEXA T-Score. SPSS (Version 12.0 For Window) was used as Statistical tool. III. Result The results by ANOVA analysis between average T-Score value in each group (Mandible QCT and L-Spine DEXA, Total DEXA) showed a slight but almost same differences (P-value 0.001). IV. Conclusions If Bone Mineral Density DATA of QCT applied to Mandible can be built to DB (Data base), Software Program to determine whether implant is possible will be developed getting more. If we use Software Program In the area of Dentist, this study is exoected to high quality test that It will improve the accuracy of the therapeutic effect on the implant as well as, it will be able to offer 3D tooth roots structures and BMD DATA corresponding to operating regions to The dentist proceeding implant at the sametime. 목적 Mandible QCT검사의 T-Score값과 DEXA검사의 T-Score값을 비교하여 두 검사간의 유의성과 QCT의 Sensitivity를 알아보고자 하였다. 대상 및 방법 2010년 3월 2일부터 2010년 5월 4일까지 임플란트시술을 위해 본원을 내원한 환자 중 DEXA검사와 L-Spine QCT검사를 모두 시행한 환자 20명을 대상으로 하였다. 대상환자의 평균연령은 70.7세이며, 남성은 5명, 여성은 15명이었다. QCT와 DEXA검사간의 유의성을 비교하기 위해, 각각의 검사에서 평균 T-Score값을 측정하여 비교 분석하였다. QCT의 T-Score값의 Analize장치로는 Extended Workspace(Version 3.5, Philips Medical System, Netherlands)를 사용하였고, DEXA의 T-Score값은 Lunar Dual Energy X-Ray Bone Densitometa(Prodigy Advance, GE Health Care)를 사용하였다. 통계도구는 SPSS(Version 12.0 For Window)를 이용하였다. 결과 Mandible QCT와 L-Spine DEXA, Total DEXA의 평균 T-Score값을 그룹간 ANOVA 분석한 결과 P-value 0.001로 유의한 차이가 있었으며, 이를 대응 표본 T-test를 total DEXA와 L-Spine DEXA간에 한 결과 P-value 0.033, total DAX와 Mandible QCT간에 한 결과 P-value 0.003, L-spine DEXA와 Mandible QCT간에 한 결과 P-value 0.001로 나와 각각의 그룹간에도 유의한 차이를 보였다. 결론 Mandible에 적용된 QCT의 Bone Mineral Density DATA값들이 DB(Data base)로 구축되어 진다면, 이를 분석하여 임플란트시술 가능여부를 판단할 수 있게 하는 Software Program이 한층 더 발전할 것이라 사료되어 진다. 이를 치과영역에서 이용한다면, 임플란트시술의 치료효과에 정확성을 높여 줄 뿐만 아니라, 시술을 진행하는 치과의사에게 3차원적인 치근의 구조와 시술부위에 해당하는 해면골의 골밀도 DATA를 동시에 제공할 수 있는 양질의 검사로 자리잡을 수 있을 것으로 기대된다.
김민희,윤영희,유승민,최인화,Kim, Min-Hee,Yun, Young-Hee,Yu, Seung-Min,Choi, In-Hwa 대한한방안이비인후피부과학회 2011 한방안이비인후피부과학회지 Vol.24 No.2
Objective : Subcorneal pustular dermatosis is a rare, chronic neutrophilic dermatoses that was first described in 1956. The eruption is characterized by flaccid pustules grouped in a circinate pattern on normal or erythematous skin. We treated a case of subcorneal pustular dermatosis in one patient; there have been no former reports of this disease treated by oriental medicine. We present this case because we considered it to be useful as a possible Oriental medicine treatment for subcorneal pustular dermatosis, and something that canbe used for further study of neutrophilic dermatoses. Method : We used herbal medication, acupuncture, herbal wet dressing, herbal ointment, cupping therapy and phototherapy during treatment. We assessed symptoms during treatment and also carried out blood tests through out. Result : We observed and treated a case of subcorneal pustular dermatosis patient and after treatment the patient's objective and subjective symptoms showed noticeable improvement. Conclusion : We suggest that subcorneal pustualr dermatosis can be treated by Oriental medicine therapy effectively. We expect these study results will help provide useful evidence of Oriental medicine as an effective treatment for subcorneal pustualr dermatosis.
윤영희,손병국,유승민,최인화,Yun, Young-Hee,Son, Byeong-Kook,Yu, Seung-Min,Choi, In-Hwa 대한한방안이비인후피부과학회 2009 한방안이비인후피부과학회지 Vol.22 No.3
패혈증이 동반된 아토피피부염 환자를 19일간의 입원치료기간동안 한약치료와 항생제치료를 병행하여 치료하였다. 향후 적절한 감염 관리가 동반된다면, 2차 감염이 병발된 아토피피부염을 적극적으로 치료할 수 있을 것으로 사료된다. Objective : It is well known that patients with atopic dermatitis are prone to cutaneous infections. Especially Staphylococcus aureus has been regarded as having an influence on atopic dermatitis. We observed and treated a case of an adult atopic dermatitis patient with sepsis by cooperation of east-west medicine. We present this case because there were no former reports of atopic dermatitis with sepsis treated by cooperation of east-west medicine. Method : We used herbal medication, acupuncture, herbal wet dressing combined with antibiotics and analgesics for 19 days. Atopic dermatitis grade was determined using SCORAD index. Result : The SCORAD index was lowered 32.3 at discharge than before of which the SCORAD index was 62.5 at admission. Other systemic inflammatory response such as fever, pus was also resolved. Conclusion : From this result, we suggest that herbal therapy associated with antibiotic therapy were shown to treat atopic dermatitis with secondary infection effectively.