• Title/Summary/Keyword: 간 질환

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근골격계 질환에 대한 접근방향과 대책

  • 이관석
    • Bulletin of the Korean Institute for Industrial Safety
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    • v.3 no.1
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    • pp.1-5
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    • 2003
  • 작업관련 근골격계 질환은 최근 사업장의 집단적인 발병, 산업재해자수의 급증 등으로 인하여 주된 문제가 되고 있다. 특히, 자동차, 선박 등의 제조업에서 이러한 문제는 노사간의 갈등을 야기하는 주 요인으로 작용하여 사회적 이슈로 대두되었다. 이러한 산업재해 율 증가는 근골격계질환의 뇌심 혈관질환 등 작업관련성질환이 주도하고 있는 현상이다. 특히, 단순반복작업, 중량물 취급작업, 부적절한 작업자세 등에 의하여 신체에 과도한 부담을 주었을 때 나타나는 요통, 경견완장해 등 근골격계 질환은 매년 급증하고 있으며 향후에도 지속적인 증가가 예상된다. 이로 인하여 생산성 저하, 근로의욕저하, 품질저하 등으로 경영손실은 물론 직접 의료비의 부담이 커지고 있는 실정이다. 이와 동시에 근골격계 질환에 대한 직원들의 보상과 작업조건 개선에 대한 요구는 점차 증가하고 있고, 가장 중요한 노$.$사간의 쟁점사항으로 부각되고 있다. 정부에서는 근골격계 질환 예방대책으로 '근골격계 부담 작업으고 인한 건강장해예방' 편을 입법화를 하였으며 근골격계 예방팀을 구성하여 대책 마련에 고심 중에 있다.(중략)

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A Case of Ecthyma Gangrenosum Associated with Liver Abscess and Renal Abscess (간농양, 신농양이 동반된 괴저성 농창 1례)

  • Seo, Ji Yeong;Kim, Shin Young;Han, Man Yong;Lee, Kyu Hyung
    • Pediatric Infection and Vaccine
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    • v.9 no.1
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    • pp.104-109
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    • 2002
  • Ecthyma gangrenosum is usually seen in immunocompromised patients, particularly in those with underlying malignant disease. Ecthyma gangrenosum is rapidly progressing skin infection characterized by edema, hemorrhage, bullae and necrosis. We experienced the case of a 13-month-old male who had Ecthyma gangrenosum associated with liver abscess and renal abscess. The patient initially presented with skin lesions of multiple well defined central necrotic black colored large erythematous bullae. The multiple liver abscess with hepatomegaly and multifocal pyelonephritis with focal renal abscess revealed by abdominal ultrasonogram and computed tomogram. In the bacterial cultures of skin, urine and liver aspiration fluid, Pseudomonas aeruginosa was grown. The patient had no immune deficiency disease. We report this case with a review of related literatures.

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Effect of cytokines in breast milk on infant during the first two-years of life (모유 내 사이토카인 함량과 2 년간 추적관찰 후 알레르기 발생)

  • Kim, Woo Kyung;Yoon, Hae-Sun
    • Clinical and Experimental Pediatrics
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    • v.50 no.9
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    • pp.912-918
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    • 2007
  • Purpose : Breast milk contains several components that provide specific immunity and affect the maturation of the infant's immune system. Allergic disease (AD), including atopic eczema, asthma, allergic rhinitis, and food allergy is characterized by an imbalance between cytokines produced by distinct T-helper cell subtypes. The aim of the study was to investigate the concentrations of cytokines and chemokines that were involved in allergic reactions in breast milk from allergic and nonallergic mothers and then analyse the effect of breastfeeding duration on the prevalence of allergic disease in the age of two. Methods : The breast milk samples were collected from mothers with AD (n=88) and without AD (n=47). Breast milk was collected at the second day (colostrum) and four weeks later (mature milk).The level of Interlukine (IL)-4, IL-5, IL-6, IL-8, IL-10, IL-13, $TGF-{\beta}1$, $TGF-{\beta}2$, RANTES in breast milk were determined by commercially available enzyme-linked immunosorbent assay (ELISA) kits according to the manufacturer's instructions. Results : Mothers with AD had a higher concentration of IL-8 in colostrum compared with those without AD (P=0.021). But, $TGF-{\beta}1$ and $TGF-{\beta}2$ were higher concentrated in colostrum of mother without AD (P=0.013, P=0.001). Whereas concentrations of other cytokines were not significantly different between the two groups. There was no association between levels of cytokines and chemokines in the breast milk and allergic development during the first 2 years of life in the infants. Conclusion : The higher concentration of $TGF-{\beta}1$ and $TGF-{\beta}2$ in colostrum from non-allergic mothers may explain the protective effect. But, the higher concentrations of IL-8 in colostrum from allergic mothers may in part explain the controversial results on the protective effect of breastfeeding against allergic diseases. We conclude that there is no convincing evidence form a relation between cytokines in breast milk and allergic diseases in infants. Longer follow-up are necessary to evaluate the effects of breast milk components on AD.

Development of Web Service for Liver Cirrhosis Diagnosis Based on Machine Learning (머신러닝기반 간 경화증 진단을 위한 웹 서비스 개발)

  • Noh, Si-Hyeong;Kim, Ji-Eon;Lee, Chungsub;Kim, Tae-Hoon;Kim, KyungWon;Yoon, Kwon-Ha;Jeong, Chang-Won
    • KIPS Transactions on Computer and Communication Systems
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    • v.10 no.10
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    • pp.285-290
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    • 2021
  • In the medical field, disease diagnosis and prediction research using artificial intelligence technology is being actively conducted. It is being released as a variety of products for disease diagnosis and prediction, which are most widely used in the application of artificial intelligence technology based on medical images. Artificial intelligence is being applied to diagnose diseases, to classify diseases into benign and malignant, and to separate disease regions for use in identification or reading according to the risk of disease. Recently, in connection with cloud technology, its utility as a service product is increasing. Among the diseases dealt with in this paper, liver disease is a disease with very high risk because it is difficult to diagnose early due to the lack of pain. Artificial intelligence technology was introduced based on medical images as a non-invasive diagnostic method for diagnosing these diseases. We describe the development of a web service to help the most meaningful clinical reading of liver cirrhosis patients. Then, it shows the web service process and shows the operation screen of each process and the final result screen. It is expected that the proposed service will be able to diagnose liver cirrhosis at an early stage and help patients recover through rapid treatment.

Non-alcoholic Fatty Liver Disease Classification using Gray Level Co-Ocurrence Matrix and Artificial Neural Network on Non-alcoholic Fatty Liver Ultrasound Images (비알콜성 지방간 초음파 영상에 GLCM과 인공신경망을 적용한 비알콜성 지방간 질환 분류)

  • Ji-Yul Kim;Soo-Young Ye
    • Journal of the Korean Society of Radiology
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    • v.17 no.5
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    • pp.735-742
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    • 2023
  • Non-alcoholic fatty liver disease is an independent risk factor for the development of cardiovascular disease, diabetes, hypertension, and kidney disease, and the clinical importance of non-alcoholic fatty liver disease has recently been increasing. In this study, we aim to extract feature values by applying GLCM, a texture analysis method, to ultrasound images of patients with non-alcoholic fatty liver disease. By applying an artificial neural network model using extracted feature values, we would like to classify the degree of fat deposition in non-alcoholic fatty liver into normal liver, mild fatty liver, moderate fatty liver, and severe fatty liver. As a result of applying the GLCM algorithm, the parameters Autocorrelation, Sum of squares, Sum average, and sum variance showed a tendency for the average value of the feature values to increase as it progressed from mild fatty liver to moderate fatty liver to severe fatty liver. The four parameters of Autocorrelation, Sum of squares, Sum average, and sum variance extracted by applying the GLCM algorithm to ultrasound images of non-alcoholic fatty liver disease were applied as inputs to the artificial neural network model. The classification accuracy was evaluated by applying the GLCM algorithm to the ultrasound images of non-alcoholic fatty liver disease and applying the extracted images to an artificial neural network, showing a high accuracy of 92.5%. Through these results, we would like to present the results of this study as basic data when conducting a texture analysis GLCM study on ultrasound images of patients with non-alcoholic fatty liver disease.

Relationship of Colorectal Polyps and Fatty Liver Disease Diagnosed by Ultrasonography (초음파로 진단된 지방간 질환과 대장 용종과의 연관성)

  • Lee, Hye-Nam;Lim, Cheong-Hwan;Jung, Hong-Ryang
    • Journal of Digital Convergence
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    • v.12 no.3
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    • pp.345-352
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    • 2014
  • This study proposes a more comprehensive approach for FLD by analyzing the relationship of colorectal polyps, which are precursors of colorectal cancer. In Chi-Square tests of FLD and colorectal polyps, the prevalence of colorectal polyps was significantly high in cases of FLD. The polyps and correlation of each factor showed a positive relationship with all factors, and the correlation coefficient with FLD was highest (r = 0.39, p <.001). In multiple regression analysis, FLD(OR 3.80 95% CI 1.93.-7.50), FBS (OR 2.51; 95% CI 1.12-5.62), and older age (OR 2.12; 95% CI 1.27-3.54) were independent risk factors for colorectal polyps. FLD was associated with the prevalence of colorectal polyps. These results show a meaningful influenceof FLD by ultrasonography in the occurrence of colorectal polyps, and that positive consideration of colonoscopy is needed for diagnosed FLD.

Development of pictograms for prevention of side effects of chronic ill patients based on disaster prevention design (Focusing on the interaction between health supplements and chronic disease drugs) (방재디자인기반 노인만성질환자의 약물 부작용 방지를 위한 그림문자 개발 (건강보조식품과 만성질환의약품 상호작용 중심으로))

  • Park, So-hee;Noh, Hwang-woo
    • Proceedings of the Korea Contents Association Conference
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    • 2017.05a
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    • pp.189-190
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    • 2017
  • 우리나라는 최근 의료기술의 발달로 고령화 사회에 진입하여 만성 질환을 가진 노인의 수가 증가하고 있다. 이에 건강보조식품과 만성질환의약품을 복합하여 복용하는 노인들의 약물부작용이 다수 발생하고 있다. 이러한 부작용을 해결하기위해 노인만성질환자들이 복용하는 의약품과 건강보조식품의 상호작용 양상을 알아보고 해결방안을 모색해야할 필요성이 있다. 본 연구는 현재 만성질환의약품과 건강보조식품의 부작용이 일어나고 있는 5가지를 지정하여 노인들이 쉽게 알아볼 수 있도록 표시해주는 그림문자를 개발하였다. 건강보조식품과 만성질환의약품간의 상호작용에 대한 적극적인 복약지도와 그림문자를 통해 만성질환 노인환자의 부작용 발생을 예방함으로써 보다 안전하고 효과적인 의약품 사용이 가능해 질 것으로 기대된다.

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업무와 관련된 질병(Work-related disorder) 역학연구에서의 고려사항들(I)-만성폐질환

  • Lee, Won-Cheol;Park, Jeong-Il;Maeng, Gwang-Ho
    • 월간산업보건
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    • s.69
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    • pp.26-32
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    • 1994
  • 어떠한 직업성 폭로와 그리고 특정한 질병간의 원인결과 관련성이 매우 명확할 때 이러한 질병은, 의학적으로 또한 대부분의 경우에 법적으로 직업성 질환으로 규정된다. 그러나 작업과 작업조건은 이러한 명확한 원인결과관계 이외에도, 일반적인 질환의 발생에 일부분 기여할수 있는데, 이는 원인의 일부로 또는 일단 발생된 질환을 악화시키는 것으로 기여할수 있고, 근로자의 직업과 관련된 생활습관을 통하여 간접적으로 그게 되는데, 이는 반드시 원인결과의 관계이어야만 한다는 것은 아니고, 직업과 직업 또는 작업조건에 어떠한 면으로 관련되어 있으면 이러한 범주에 들게 된다. 고전적인 직업병은 이러한 관련성의 한 극단을 이루고 있으며, 직업과 관련되어서 매우 미약한 관련성을 가지는 또는 불확실한 관련을 가지는 질환들은 다른 극단을 점하고 있다. 이러한 극단들 사이에 위치한 많은 질환들은 어떠한 특정한 조건에서만 업무관련성을 지니며 그들의 원인은 항상 다원적인(multifactotial) 것이다. 이러한 관련성의 확정은 역학의 중요한 역할중의 하나이나 이 글에서는 대표적인 몇가지 질환을 대상으로 이러한 연구에서 고려하여야 할 점들을 Sven Hernberg의 "Introduction to Occupational Epidemiology"를 통하여 정리하여 보고자 하였다.

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