• Title/Summary/Keyword: 관절염질환

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Determinants of Intention to Take Korean Medicine: Focusing on the recognition of korean medicine treatment effects by disease (한약 복용 의향 결정요인 연구 : 질환별 한방 치료효과 인식을 중심으로)

  • Kim, Jae-Woo;Kim, Sung-Ho;Kang, Jung-Kyu
    • Journal of Digital Convergence
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    • v.20 no.1
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    • pp.327-334
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    • 2022
  • The purpose of this study was to analyze the impact on people's willingness to take korean medicine based on the perception of korean medicine treatment effects by disease, and provide basic data when the herbal medicine (pharmacology) health insurance pilot project is carried out. The survey 'Usage and Consumption of Korean Medicine Report in 2017' was used, and frequency analysis, chi-square test, and logistic regression analysis were conducted on 3,032 people. Logistic regression results showed that the perception of herbal treatment effects on digestive diseases and arthritis was a significant factor in the future intention to take korean medicine. As the herbal medicine health insurance pilot project aims to popularize herbal medicine treatment through the management of the quality of korean medicine by incorporating it within the system, it is necessary to consider highly acceptable digestive diseases and arthritis when expanding target diseases.

Proteomic-determined Alteration of Synovial Fluid on Induced Model of Transected Ligament of Head of Femur (개의 대퇴골두인대 절단 모델에서 프로테오믹스로 관찰한 관절액의 변화)

  • Kim, Se-Hoon;Shin, Ki-Uk;Ji, Joong-Ryong;Shim, Kwan-Seob;Kim, Nam-Soo
    • Journal of Veterinary Clinics
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    • v.27 no.6
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    • pp.679-685
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    • 2010
  • Many animal models of osteoarthritis (OA) have been developed, aimed at understanding the long-term progression of OA and difficulty of identifying patients in the initial stage of the disease. In canines, coxofemoral luxation and hip dysplasia are common orthopedic ailments related to OA in the hip joint. Transecting the ligament of the head of the femur (LHF) aids in diagnosis of coxofemoral joint OA. Presently, mobility of this joint was increased by transected LHF in 10 mature, 2-3-year-old (average $2.57{\pm}0.20$ years), healthy male beagles. The animals were normally gaited 1-week post-operatively. During the experimental period, examinations including X-ray, complete blood count and serum chemistry were unremarkable. Proteomic examination revealed protein alterations in synovial fluid, with significant increases in Vitamin D-binding protein precursor (ANOVA, p < 0.004) and Kinogen-1 (ANOVA, p < 0.039). Both proteins correlated with arthritis.

지혜 깊어지는 건강 - 활기찬 실버 세대 - 잘 안 들리는 노인성 난청 부모님 귓속에 쏘옥 보청기

  • Hong, Seong-Hwa
    • 건강소식
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    • v.35 no.2
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    • pp.26-27
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    • 2011
  • 노인성 난청(presbycusis)은 나이가 들어감에 따라 청력이 점진적으로 악화되는 것으로 성인 난청의 가장 흔한 원인중 하나이다. 미국과 마찬가지로 국내의 여러 연구에서 보면, 65세 이상의 노인 중 보청기를 착용해야 할 정도의 난청이 있는 비율이 전체의 30~35% 정도를 차지하고 있다. 이렇기 때문에 노인성 난청은 노인성 만성 질환 중 퇴행성 관절염, 고혈압에 이어 3대 만성 질환으로 분류되고 있다.

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The Surgical Treatment of Pyogenic and Tubercular Infection in the Sternoclavicular Joint - Case Report - (흉쇄관절에 발생한 화농성 관절염과 결핵성 관절염의 수술적 치료 - 증례 보고 -)

  • Kim, Young-Yul;Kwon, Jong-Beum;Lee, Yeon-Soo;Kim, Sang-Il;Ji, Jong-Hun
    • Clinics in Shoulder and Elbow
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    • v.13 no.1
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    • pp.99-105
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    • 2010
  • Purpose: Here we report clinical results for surgical treatment of 2 cases of pyogenic arthritis and 1 case of tubercular arthritis, which only rarely develops in the sternoclavicular joint. Materials and Methods: From September 2003 to September 2008, we did early marginal resection and thorough debridement of osteomyelitis of the sternum and distal clavicle in 3 patients and evaluated clinical results after short-term follow up. Results: All 3 patients were satisfied with their clinical results and none had any recurrences according to follow up X-rays and laboratory datas. The follow up MRI showed bone edema in the distal clavicle and proximal sternum and a little fluid retention around the sternoclavicular joint. Conclusion: Even though diagnosis of these diseases are made earlier, infection of the adjacent bone and osteomyelitis could already have developed. We did early marginal resection and thorough debridement of osteomyelitis of the sternum and distal clavicle and achieved satisfactory results.

Arthroscopic Treatment of Mixed Pyogenic and Tuberculous Arthritis of Shoulder Joint (견관절의 화농성 및 결핵성 복합 관절염의 관절경적 치료 - 증례보고 -)

  • Ko, Sang-Bong;Kim, Shin-Keun;Choi, Won-Kee;Park, Jae-Hyun;Choi, Chang-Hyuk
    • Journal of the Korean Arthroscopy Society
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    • v.12 no.2
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    • pp.129-133
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    • 2008
  • Although the incidence of tuberculosis has been decreased due to new anti-tuberculous agents, improved socioeconomic status and development of multimodal preventive methods, in recent that is increased due to low vaccination rate and appearance of multidrug resistence organism. And the incidence of pyogenic shoulder joint arthritis is increasing due to frequent injection therapy as primary treatment. We have managed the mixed shoulder joint arthritis-pyogenic and tuberculous-with arthroscopic debridement and antituberculous medication successfully and then we report this case with relevant literatures.

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Scaling experience and related factors in people diagnosed with rheumatoid arthritis (류마티스 관절염 진단자의 치석제거 경험과 관련요인)

  • Kim, Ji-Hyun;Kim, Min-Young
    • Journal of Korean society of Dental Hygiene
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    • v.16 no.6
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    • pp.1105-1114
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    • 2016
  • Objectives: The purpose of this study was to examine the scaling experience and related factors of people diagnosed with rheumatoid arthritis. Methods: The subjects were 30,680 people diagnosed with rheumatoid arthritis from the 2014 community health survey who were $${\geq_-}19$$ years old. Data were analyzed by chi-square test and multiple logistic regression analysis. Results: Those having regular scaling included well educated people, drinkers, more than three times tooth brushing practice, and regular dental checkup. The respondents were in the higher quartile of income And the respondents who were in the higher quartile of income were less likely to have scaling experience (p<0.05). Conclusions: The scaling experience was closely related with the age, educational level, residential area, income, drinking, tooth brushing practice, and regular dental checkup. It is necessary to investigate the influencing factors of rheumatoid arthritis and periodontal diseases in the further studies.

Therapeutic Effects of Binsosan(檳蘇散) on Adjuvant-induced Rheumatoid Rats (Freund's complete adjuvant로 유발시킨 rat 류마티스성 관절염에 대한 빈소산의 치료 효과)

  • An, Keun-Sang;Woo, Chang-Hoon;Kwon, O-Gon;An, Hee-Duk
    • Herbal Formula Science
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    • v.16 no.2
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    • pp.115-131
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    • 2008
  • 실험목적 : 빈소산은 11가지 생약으로 구성된 복합 한약 처방으로 관절염을 포함한 다양한 염증성 질환의 치료제로 사용되어 왔으나, 관절염에 대한 직접적인 효력평가는 찾아 보기 힘들다. 따라서 본 실험에서는 빈소산 추출물이 Freund's complete adjuvant (FCA)로 유발된 rat 류마티스성 관절염에 미치는 치료 효과를 dexamethasone (15mg/kg, 복강 투여) 의 효과와 비교 평가하였다. 실험방법 : 류마티스성 관절염은 FCA (10mg in 1ml paraffin oil 0.1ml/rats)를 좌측 후지에 피내 투여하여 유발하였다. 실험동물은 Wistar 랫트를 사용하였고, FCA 투여 14일 후 유사한 무릎관절 둘레를 나타내는 류마티스성 관절염 유발 rat와 정상 rat 및 실험군을 그룹당 9마리씩 나누었다. 실험동물은 100 또는 200mg/kg의 빈소산 추출물을 FCA 투여 14일 후부터 14일간 경구 투여하였으며, dexamethasone은 15mg/kg 농도로 복강 투여한 다음, 희생하여, 체중, 연골내 collagen 함량 및 chondroitin sulphate, heparin sulphate 및 hyaluronic acid와 같은 뼈내 glycosaminoglycan 함량의 변화를 각각 관찰하였다. 실험결과는 항염 효과가 이미 입증되어 있는 dexamethasone 15mg/kg 복강 투여군과 비교하였다. 결과 : FCA 투여는 현저한 체중, 연골내 collagen 함량 및 chondroitin sulphate, heparin sulphate 및 hyaluronic acid와 같은 뼈내 glycosaminoglycan 함량의 감소와 함께 유발 관절 둘레 및 조직내 prostaglandin $E_2$의 증가와 같은 전형적인 류마티스성 염증을 초래하였으나, 이러한 류마티스성 관절염 소견은 dexamethasone 및 모든 용량의 빈소산 추출물 투여에 의해 현저히 억제되었으며, 특히 빈소산 투여군에서는 투여 용량 의존적인 감소가 인정되었다. 결론 : 이상에서 빈소산 추출물은 투여 용량 의존적인 prostaglandin $E_2$ 억제를 매개하여 FCA 유발 류마티스성 관절염에 대한 치료 효과를 나타내는 것으로 관찰되었다. 따라서 새로운 관절염에 대한 치료제로서 개발 가능성이 있을 것으로 판단된다. 한편 빈소산 추출물은 주로 prostaglandin $E_2$ 억제작용에 의해 항염 효과를 나타내는 것으로 관찰되었으나, 금후 다른 작용기전에 대한 연구와 빈소산의 구성성분 중 유효 성분 규명을 위한 실험이 수행되어야 할 것으로 판단된다.

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Septic Arthritis of the Manubriosternal Joint in an Adolescent: A Case Report

  • Soongang Park;Joon Kee Lee
    • Pediatric Infection and Vaccine
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    • v.31 no.1
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    • pp.153-157
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    • 2024
  • Septic arthritis of the manubriosternal joint is a rare condition, especially in adolescents, who often present with nonspecific symptoms that can mimic more common conditions such as musculoskeletal chest pain, costochondritis. Here, we report a case of septic arthritis in a 17-year-old girl and highlight the challenges in diagnosing and managing this condition in adolescents. Initially presenting with acute chest pain diagnosed as transient nonspecific chest pain, the patient's subsequent visits to the emergency department unveiled escalating symptoms, including high fever, prompting advanced imaging. Ultimately, the diagnosis of septic arthritis of the manubriosternal joint was confirmed, with blood culture growth revealing Methicillin-sensitive Staphylococcus aureus. Diagnostic delays have been attributed to the absence of typical symptoms and patient reluctance to be hospitalized. Our case emphasizes the importance of considering rare infectious etiologies in adolescents with chest pain and emphasizes the need for heightened suspicion in unusual anatomical sites. Further research is required to elucidate the pathogenesis and risk factors associated with this condition to aid in prompt diagnosis and treatment.

Case Report : Temporomandibular Joint Involvement in Rheumatoid Arthritis (증례보고: 류마티스 관절염 환자에서 측두하악관절의 이환)

  • Lim, Hyun-Dae;Lee, You-Mee
    • Journal of Oral Medicine and Pain
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    • v.31 no.3
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    • pp.231-236
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    • 2006
  • Rheumatoid arthritis(RA) is an of autoimmune inflammatory systemic disease. It is characterized by uncontrolled proliferation of synovial tissue and a wide array multisystem comorbidities. The disease may involve any joint of the body, but often statrs in the peripheral joints. It was reported that more than 50% of RA patients exhibit clinical involvement of TMJ. This report is a case report of dental management and progression for 16 months in patients who had severe bony change in TMJ involved rheumatoid arthritis Dental management was included palliative treatment such as interocclusal splints, physical therapy, mouth opening exercise. Although it was progressed rapidly osteolytic bone change during follow-up, no more advanced occulsal change and improved symptom and jaw motion. Further investigations about rule of dentistry in TMJ involvement in RA maybe needed.

Occurrence of Physical Therapy Treatment in the Management of Patients with Degenerative Joint Disease (퇴행성 관절질환 환자에 대한 물리치료 빈도)

  • Yoon, Chang-G.;Lee, Myoung-Hee;Bae, Sung-Soo
    • Journal of the Korean Society of Physical Medicine
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    • v.3 no.4
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    • pp.301-307
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    • 2008
  • 목적 : 노년층의 대부분이 가지고 있는 골관절염이라고도 알려진 퇴행성 관절 질환은 척추에 영향을 끼친다. 그리고 이 질환은 통증과 일상생활에서의 활동 제한을 초래한다. 본 연구는 퇴행성 관절질환 환자의 물리치료 빈도에 따른 효과를 검증하는 데 있다. 방법 : 퇴행성 관절 질환을 가진 30명의 환자가 이 연구에 참여하였고 이들에 취해진 물리치료의 빈도에 따른 효과를 평가하여 그 결과를 물리치료 임상 지침서와 비교분석하였다. 본 연구에 참여한 환자들은 시각적 사상척도(Visual Analog Scale, VAS), 멕길 통증 설문지, 일반적인 설문지에 응했으며 물리치료 전과 후를 물리치료 빈도에 중점을 두어 평가받았다. 결과 : 본 연구에 참여한 환자들은 제시된 치료 빈도와 평가에 근거하여 볼 때 놀랄만한 호전을 보였다. 치료 초기와 물리치료를 시작하기 전의 평가 자료를 비교하여 보았을 때 설문지로 평가된 점수에서 큰 향상을 보였다. 결론 : 본 연구는 물리치료가 퇴행성 관절 질환 환자들에게 효과가 있음을 보여주었다. 또한 물리치료 임상지침서는 따라야 할 좋은 자료가 될 수 있지만 물리치료 처방에는 정해진 기준은 없다는 것을 보여주었다.

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