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전재윤,정세화,이병하,임재중,황경균,심광섭,박창주,Jeon,,Jae-Yun,Jung,,Se-Hwa,Lee,,Byung-Ha,Im,,Jae-Jung,Hwang,,Kyung-Gyun,Shim,,Kwang-Sup,Park,,Chang-Joo 대한치과마취과학회 2009 Journal of Dental Anesthesia and Pain Medicine Vol.9 No.2
Midazolam, one of the most common benzodiazepine derivatives, is widely used in intravenous sedation for dental treatment without severe complications. However, paradoxical reactions to midazolam, including patient's unanticipated restlessness, agitation, hostility, and rage, have been frequently reported since the introduction of benzodiazepine. During outpatient intravenous sedation using midazolam for dental treatment, we experienced a paradoxical reaction to midazolam in a 28-year-old female patient. With a thorough review of the literature, the management of this complication and its various etiologies were discussed.
2006년 3월부터 2007년 2월까지 한양대의료원 치과 진정요법클리닉은 모두 80명의 환자를 대상으로 총 92건의 치과치료를 위하여 미다졸람을 단독으로 사용하는 정주의식진정요법을 시행하였다. 이전 논문에서 이미 본원의 진정요법 프로토콜을 자세히 설명하였고 이번 논문에서는 지금까지의 진정요법 결과들을 후향적으로 분석하였다. 이러한 근거에 기반한 접근법으로, 이번 연구는 일반 치과의사들도 미다졸람을 이용한 정주의식진정요법을 안전하고 효과적으로 시행할 수 있도록 도움이 될 것이다. At Sedation Clinic of Department of Dentistry in Hanyang University Medical Center, total 92 dental treatments under intravenous conscious sedation using midazolam alone for 80 patients were carried out from March 2006 to February 2007. Following the previous article concerning our sedation protocol, the retrospective analyses of our cases were presented in detail. By the evidence-based approach, we hope that our study will help the general dental practitioners perform the intravenous conscious sedation using midazolam alone safely and effectively.
Background/Aims: This study was designed to assess the etiology and characteristics of chronic liver disease among the young male adults. It was also investigated whether grades of activity and status of fibrosis defined by the new histopathologic classification system of chronic hepatitis are related with alanine aminotransferase (ALT) level and HBeAg status in HBsAg-positive case. Methods: Peritoneoscopic findings, clinical features and histopathologic features of liver were investigated for 140 young men who received liver biopsy for military medical certificate from January 1994 to December 1997. These features were evaluated according to the grade and stage of chronic hepatitis. Results: In Korea, hepatitis B virus was the main cause of chronic hepatitis (87.7%) in young male adults and the infection of hepatitis C virus was rare (1.4%). Among HBsAg-positive cases with normal ALT level, 82.2% of them revealed chronic liver disease, and 48.3% of them showed chronic active hepatitis/cirrhosis in biopsy specimens. The grade of chronic hepatitis showed weak correlation with ALT level and the stage did not. There was no significant difference in the grade and stage of chronic hepatitis according to the serum HBeAg status. Conclusions: The most common cause of chronic liver disease in Korean young male adults was hepatitis B virus, and most (92.6%) of HBsAg-positive cases were proved to have chronic liver diseases histologically, regardless of the serum ALT level. According to new histopathologic classification system of chronic hepatitis, serum ALT level correlated with necroinflammatory activity of chronic hepatitis B, but not with fibrosis in HBsAg-positive cases.
Objectives : The purpose of this study is to analyze actual status of foreign patients who visited hospital of Korean medicine and suggest developmental direction of korean medical tourism. Methods : This study includes 675 foreign patients who visited spine-specialized hospital of Korean medicine from January 1, 2012 to December 31, 2012. Based on computerized medical records, patients' age, gender, country, date of initial and last visit, chief complaint, treatment period and species of treatment were collected. These data were used for analyzation of actual condition of medical tourism at hospital of Korean medicine. Results : A total of 675 foreign patients visited spine-specialized hospital of Korean medicine. 395 patients(59 %) were female and the forties was the most common by ages. Patients from Japan were the most common followed by Russia and United States of America. Patients visited hospital 5.1 times during 27.4 days in average. There were 526 cases of spinal pain and only 52 cases were non-musculoskeletal disease. The most frequently performed treatment was general acupuncture treatment while moxibustion and bee venom acupuncture were remarkably infrequently treated. Conclusions : The result of this study suggests potential possibility of development of Korean medical tourism focused on disease cure as well as current trend of beauty and Korean medical experience at the Korean medical tourism field.