scholarly journals A Case Report on 14 Patients with Palpitations Treated with Gami-ondam-tang

2021 ◽  
Vol 42 (5) ◽  
pp. 1160-1172
Author(s):  
Won-ho Kong ◽  
Won-ill Kim
Keyword(s):  
Case Report ◽  
Treatment Period ◽  
Rating Scale ◽  
Hot Flushes ◽  
First Occurrence ◽  
Accompanying Symptoms

Objectives: This study examined cases of patients with palpitations treated with Gami-ondam-tang.Methods: The patients were treated with Gami-ondam-tang and changes in their symptoms were assessed using a self-reported numeral rating scale (NRS) score.Results: Following treatment, the patients’ palpitations and accompanying symptoms (e.g., insomnia, hot flushes, dyspepsia, and depression) improved. The study investigated 14 first occurrences and 10 subsequent recurrences. In the subsequent recurrent cases, compared to the first occurrence cases, the symptoms according to the NRS score were not severe, and the treatment period was shorter.Conclusions: The results showed that Gami-ondam-tang is effective for treating palpitations and accompanying symptoms.

A Case of Catatonia in a 14-Year-Old Girl with Schizophrenia Treated with Electroconvulsive Therapy

2013 ◽  
Vol 41 (1) ◽  
pp. 69-74 ◽  
Author(s):  
Frank Häßler ◽  
Olaf Reis ◽  
Steffen Weirich ◽  
Jacqueline Höppner ◽  
Birgit Pohl ◽  
...  
Keyword(s):  
Case Report ◽  
Treatment Response ◽  
Electroconvulsive Therapy ◽  
Rating Scale ◽  
Combined Treatment ◽  
Adolescent Patient

This article presents a case of a 14-year-old female twin with schizophrenia who developed severe catatonia following treatment with olanzapine. Under a combined treatment with amantadine, electroconvulsive therapy (ECT), and (currently) ziprasidone alone she improved markedly. Severity and course of catatonia including treatment response were evaluated with the Bush-Francis Catatonia Rating Scale (BFCRS). This case report emphasizes the benefit of ECT in the treatment of catatonic symptoms in an adolescent patient with schizophrenic illness.

scholarly journals The effectiveness of physiotherapy in cervicogenic headache and concurring temporomandibular dysfunction: a case report

2010 ◽  
Vol 66 (1) ◽  
Author(s):  
F. Lewis ◽  
B. Naude
Keyword(s):  
Case Report ◽  
Muscle Strength ◽  
Rating Scale ◽  
Myofascial Pain ◽  
Positive Outcome ◽  
Cervicogenic Headache ◽  
Initial Assessment ◽  
Range Of Movement ◽  
Temporomandibular Dysfunction ◽  
Therapy Interventions

The aim of this case report is to describe the use of physio-therapy interventions in a patient diagnosed with cervicogenic headache(CGH) and temporomandibular dysfunction (TMD). This case study involveda 26 year old male. The subject’s cervical and temporomandibular joint(TMJ) active range of movement; passive accessory movements; headacheintensity, periodicity and response to analgesics; TMJ clicking and discomfort;Numerical Pain Rating Scale (NPRS) scores, were assessed on initial assessment and on discharge 14 weeks later. The physiotherapy interventionincluded cervical and TMJ mobilisation (Maitland approach); trigger pointtherapy and massage; strengthening of the deep cervical neck flexors and scapulothoracic muscles; and posture correction. The subject improved on all outcome measures and was discharged after nine physiotherapy sessions, withfull cervical and TMJ range of movement, improved muscle strength and decreased headache intensity and frequency.This case describes a positive outcome for a patient diagnosed with cervical headaches and temporomandibular dysfunction in which physiotherapy interventions aimed at correcting joint dysfunction, myofascial pain and decreased muscle strength were used effectively.

scholarly journals Solely inhibin B producing ovarian tumour as a cause of secondary amenorrhoea with hot flushes: case report and review of literature

2012 ◽  
Vol 27 (4) ◽  
pp. 1144-1148 ◽  
Author(s):  
S. W. J. D. van Liempt ◽  
L. E. van Rheenen-Flach ◽  
J. H. T. M. van Waesberghe ◽  
M. C. G. Bleeker ◽  
J. M. J. Piek ◽  
...  
Keyword(s):  
Case Report ◽  
Ovarian Tumour ◽  
Inhibin B ◽  
Hot Flushes ◽  
Review Of Literature ◽  
Secondary Amenorrhoea

scholarly journals Traditional Korean Medical Treatment for Dizziness and Gait Instability due to Cerebellar Infarction: A Case Report

2020 ◽  
Vol 37 (3) ◽  
pp. 181-186
Author(s):  
You Jung Lee ◽  
Jae Eun Jeong ◽  
Yeon Ah Choi ◽  
Jang Mi Park ◽  
Seung Min Lee ◽  
...  
Keyword(s):  
Case Report ◽  
Rating Scale ◽  
Berg Balance Scale ◽  
Numeric Rating Scale ◽  
Cerebellar Infarction ◽  
Korean Medicine ◽  
Herbal Decoction ◽  
Gait Posture ◽  
Numeric Rating

This case study reports the effect of Korean medicine treatments on a 73 year-old female who had a cerebellar infarction. She was hospitalized for 120 days (without visiting Western medicine hospital) where she was treated with acupuncture, herbal decoction, pharmacopuncture, chuna, moxibustion and physiotherapy. Following treatment, her symptoms of dizziness were evaluated using the numeric rating scale and showed pain had reduced (3 to 0). The K-Modified Barthel, showed that life performance had improved (15 to 74), and the Berg balance scale showed an improved balance (2 to 32). Steps per minute and gait posture at stance phase for ataxia also showed improvement. This case report shows that Korean medicine treatment is effective in alleviating dizziness and improved gait instability caused by cerebellar infarction.

scholarly journals Effect of Mirtazapine on Thyroid Hormones in Adult Patients with Major Depression

2005 ◽  
Vol 18 (4) ◽  
pp. 737-744 ◽  
Author(s):  
F. Gambi ◽  
D. De Berardis ◽  
G. Sepede ◽  
D. Campanella ◽  
N. Galliani ◽  
...  
Keyword(s):  
Major Depression ◽  
Thyroid Hormones ◽  
Treatment Period ◽  
Rating Scale ◽  
Venous Blood ◽  
Term Treatment ◽  
Free T4 ◽  
End Of Treatment ◽  
Long Term Treatment ◽  
Hpt Axis

Hypothalamic pituitary thyroid (HPT) axis abnormalities and alterations in major depression are reported in literature. The aim of our study was to evaluate the effect of mirtazapine on thyroid hormones after 6 months of therapy in a sample of adult outpatients with Major Depression (MD). 17 adult outpatients (7 men, 10 women) with MD according to DSM-IV criteria, were included in the study. All participants had to have met criteria for a major depressive episode with a score of at least 15 on the Hamilton Depression Rating Scale (HAM-D). Fasting venous blood samples were obtained for determination of serum Thyroid Stimulating Hrmone (TSH), Free T3 (FT3) and Free T4 (FT4) concentrations both at baseline and after 6 months of therapy. HAM-D scores decreased significantly from the first day of treatment to the end of the treatment period (p<0.001) and twelve patients (70.6%) were classified as responders. A significant increase in FT3 concentrations was found between baseline and the end of treatment period (P=0.015) whereas FT4 concentrations decreased (P=0.046). No significant changes were found in TSH levels. Higher FT4 concentrations at baseline predicted higher HAM-D scorers both at baseline and at the end of the treatment period. Furthermore, higher FT3 concentrations at endpoint were found to be predictors of lower HAM-D scores. Long-term treatment with mirtazapine increases FT3 levels and decreases FT4 maybe involving the deiodination process of T4 into T3.

Prevalence and characteristics of headache attributed to ingestion or inhalation of a cold stimulus (HICS): A cross-sectional study

Cephalalgia ◽  
2019 ◽  
Vol 40 (3) ◽  
pp. 299-306
Author(s):  
Torsten Kraya ◽  
Malte Schulz-Ehlbeck ◽  
Philipp Burow ◽  
Stefan Watzke ◽  
Stephan Zierz
Keyword(s):  
Rating Scale ◽  
Primary Headache ◽  
Tension Type Headache ◽  
Primary Headaches ◽  
Cross Sectional ◽  
Cold Stimulus ◽  
Clinical Criteria ◽  
Number Of Patients ◽  
Accompanying Symptoms ◽  
Type Headache

Background Headache attributed to ingestion or inhalation of a cold stimulus (HICS), colloquially called ice-cream headache, is a common form of a primary headache in adults and children. However, previous studies on adults are limited due to the small number of patients. Furthermore, most of the subjects in previous studies had a history of other primary headaches. Methods Biographic data, clinical criteria of HICS and prevalence of primary headache were collected by a standardized questionnaire. A total of 1213 questionnaires were distributed; the return rate was 51.9% (n = 629); 618 questionnaires could be analyzed. Results In a cohort of 618 people aged between 17–63 years (females: n = 426, 68.9%), the prevalence of HICS was 51.3% (317 out of 618). There was no difference between men and women (51.3% vs. 51.6%). The duration of HICS was shorter than 30 sec in 92.7%. In the HICS group, localization of the pain was occipital in 17%. Trigemino-autonomic symptoms occurred in 22%, and visual phenomena (e.g. flickering lights, spots or lines) were reported by 18% of the HICS group. The pain intensity, but not the prevalence of HICS, was higher when tension-type headache and migraine or both were present as co-morbid primary headaches (Numeric Rating Scale (NRS) 4.58 and 6.54, p = 0.006). There was no higher risk of participants with migraine getting HICS than for those who did not have migraine (odds ratio = 1.17, 95% confidence interval (CI) 0.75–1.83; p = 0.496). Conclusion The results of this study modified the current criteria for HICS in the ICHD-3 regarding duration and localization. In addition, accompanying symptoms in about one fifth of the participants are not mentioned in the ICHD-3. Neither migraine nor tension-type headache seems to be a risk factor for HICS. However, accompanying symptoms in HICS are more frequent in subjects with another primary headache than in those without such a headache.

Long-term effect of high-intensity laser therapy for persistent shoulder pain: A case report

2020 ◽  
Vol 33 (6) ◽  
pp. 947-951
Author(s):  
Javier Aceituno-Gómez ◽  
Venancio Miguel García-Madero ◽  
Juan José Criado-Álvarez ◽  
Jaime González-González ◽  
Julio Gómez-Soriano ◽  
...  
Keyword(s):  
Case Report ◽  
Laser Therapy ◽  
Shoulder Pain ◽  
High Intensity ◽  
Rating Scale ◽  
Term Effect ◽  
Long Term Effect ◽  
High Intensity Laser ◽  
Intensity Laser

BACKGROUND AND OBJECTIVE: This case report describes the long-term effect of the high-intensity laser therapy (HILT) in a patient with chronic shoulder pain refractory in comparison to other treatments. CASE DESCRIPTION: Ten sessions of HILT were applied in a thirty-one-year-old woman diagnosed with subacromial syndrome. Assessment was carried out through different tests: Shoulder Pain and Disability Index (SPADI), Numeric Pain Rating Scale (NPRS) and pressure pain threshold (PPT). All measurements were taken at four different points: at the end of the 10 sessions, after one month, three months after the intervention and nine months after the initial intervention. RESULTS: There was a clinically significant improvement in NPRS (decrease of 5 points), PPT (increase of 1.5 kg/cm2) and SPADI (decrease of 24 points) one month after the intervention. After three months, the increase of NPRS and SPADI required a 5-session intervention to support the clinical improvement. Six months after these booster sessions an increase in PPT and a decrease in NPRS and SPADI were observed. CONCLUSION: Results indicate the suitability of developing new research lines which will optimize the use of HILT.

Tropicamide eye drops reduce clozapine-induced hypersalivation: A case report

2016 ◽  
Vol 33 (S1) ◽  
pp. S543-S544 ◽  
Author(s):  
O. Kilic ◽  
H.M. Ozturk ◽  
E. Ata
Keyword(s):  
Case Report ◽  
Side Effects ◽  
Side Effect ◽  
Negative Symptoms ◽  
Rating Scale ◽  
Short Form ◽  
Eye Drops ◽  
Oral Application ◽  
Competing Interest ◽  
Pressure Changes

IntroductionClozapine-induced sialorrhea (CIS) is a common, treatment-limiting and stigmatizing side effect. All systemic agents that are used for hypersalivation may increase clozapine side effects such as blood pressure changes, constipation, or arrythmias. Oral application of topical anti-muscarinic agents may be a low side effect option for treatment of CIS.ObjectiveThe aim of this case report was to propose an off-label treatment of tropicamide drops to CIS and to stimulate further investigation.Case reportA 33-year-old male inpatient with schizophrenia has been on clozapine 800 mg and amisulpride 600 mg/day. His drooling was occasional and severe as drool drips off his chin during the day and night. Wet area over the pillow, visual analog scale (VAS), the short form of health survey (SF-36), UKU side effect rating scale, scale for the assessment of negative symptoms (SANS), scale for the assessment of positive symptoms (SAPS) were applied at baseline and in one-week intervals. Oral application of one drop of tropicamide % 0.5 (5 mg/mL) to left and one drop to right side before going to bed in the first week and two drops to each side were administered subsequently. Informed consent was given by the patient.ResultsNo psychological, neurological, autonomic and other side effects were observed associated with tropicamide. On VAS, the patient rated hypersalivation 5/7 at baseline, 4/7 after one drop each, 3/7 after two drops each.ConclusionsThe reduction of CIS by oral use of tropicamide eye drops is promising and should be explored with randomized controlled trials.Disclosure of interestThe authors have not supplied their declaration of competing interest.

Group cognitive behaviour therapy combining early intervention with an exclusive focus on single medication-resistant delusional beliefs: a service evaluation

2016 ◽  
Vol 9 ◽  
Author(s):  
David Raune ◽  
Anna Last ◽  
Sarah Towner ◽  
Jill Domoney ◽  
Anna Georgiades
Keyword(s):  
Treatment Period ◽  
Effect Size ◽  
Cognitive Behaviour Therapy ◽  
Rating Scale ◽  
Psychological Treatment ◽  
Baseline Period ◽  
Service Evaluation ◽  
Early Psychosis ◽  
Behaviour Therapy ◽  
Cognitive Behaviour

AbstractCognitive behaviour therapy (CBT) is now the psychological treatment of choice for psychosis but meta-analyses indicate a low effect size on delusions, so further innovations are clearly needed, and group CBT for psychosis (GCBTp) is an under-researched area. This study aimed to service-evaluate the feasibility, satisfaction, safety, and effectiveness of a CBT group specifically targeting medication-resistant single delusions in early psychosis patients (EI-GCBTp). Three separate EI-GCBTp groups were run resulting in a total of 11 medication-resistant early psychosis patients. A within-subjects design tested for group change across two time points: pre-baseline (4 weeks before treatment) to baseline (session 1 of treatment) and sessions 1–8 (the treatment period). Thirteen delusion dimensions were measured from three psychosis-specific questionnaires: The Psychotic Symptom Rating Scale (PSYRATS), Characteristics of Delusion Rating Scale, and the Belief Rating Scale. At least three patients attended each group, satisfaction scores were high, and no harm to patients was identified. With reference to effectiveness, the pre-baseline period showed virtually no change. In contrast, across the EI-GCBTp treatment period, the PSYRATS total demonstrated a statistically significant decrease in delusional severity (p < 0.01), a 31% symptom reduction, and a large effect size (Cohen's d = 1.2, 95% confidence interval = −2.53 to 0.05), statistically significant across four delusion dimensions. EI-GCBTp appears feasible, acceptable, safe, and preliminary uncontrolled effectiveness results suggest merit for larger-scale more rigorous testing of this treatment format for possible dimensional improvements of persistent delusions.

scholarly journals A Case Report of Korean Medicine Treatment of Lateral Medullary Infarction with Central Dizziness and Hypoesthesia

2021 ◽  
Vol 42 (5) ◽  
pp. 982-990
Author(s):  
Ji-hae Yang ◽  
Jie-yoon Kang ◽  
In-cheol Chae ◽  
In-woo Choi ◽  
Ju-young Ryu ◽  
...  
Keyword(s):  
Case Report ◽  
Herbal Medicine ◽  
Rating Scale ◽  
Numerical Rating Scale ◽  
Lateral Medullary Infarction ◽  
Korean Medicine ◽  
Numerical Rating ◽  
Medullary Infarction

Objectives: The aim of this study was to report the effectiveness of Korean medicine treatment for a patient with lateral medullary infarction who presented with central dizziness and hypoesthesia.Methods: The patient was treated with Korean medicine treatment, including acupuncture, moxibustion, and herbal medicine. We measured the progress of the case using the Numerical Rating Scale (NRS).Results: After the treatment, the NRS scores for dizziness and hypoesthesia decreased.Conclusions: This study suggests that Korean medicine treatment might be effective for lateral medullary infarction in patients who present with central dizziness and hypoesthesia.

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