• Title/Summary/Keyword: 급성기

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Caregivers' Burden in patients with a cute stroke (급성기 뇌졸중 환자를 돌보는 가족 돌봄제공자의 부담감 관련요인)

  • Kang, Sue-Jin;Lee, Hee-Joo;ChoiKwon, S-Mi
    • The Korean Journal of Rehabilitation Nursing
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    • v.5 no.1
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    • pp.27-37
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    • 2002
  • During acute stages of hospitalized stroke patients, family caregivers face many challenges. They often experience emotional distress, social isolation, and financial constraints. However, the burden of caregiving of stroke patients in acute stages has never been studied properly. The purpose of this study was to investigate the factors related to the caregivers' burden with acute stroke. The subjects were 123 acute stroke patients and their caregivers who were admitted to neurology and neurosurgery units at Dan Kook University Hospital in Chung-Nam area. An interview was performed with the use of standardized questionnaire which included data pertaining to the patients/caregivers characteristics, caregiver burden (Modified Zarit's Burden Scale), and social support (Personal Resource Questionnaire). Our results showed that the mean burden score was 3.11, indicating high level of burden. Among the sub-domain scores, financial burden was the highest. In univariate analysis, the factors related to caregiver burdens were: inability to communicate between patients and caregiver(p<.001); low cognitive function of the patients(p<.001); low level of ADL(p<.001); the gender of caregiver(p<.001); the current employment status of caregivers(p<.01); the presence of social support for caregiver(p<.001); and the availability of alternative caregivers(p<.001). In multiple regression analysis, social support for family caregivers (87%), low level of patient's cognition (2%), availability of 2nd caregiver (1%), and gender of caregiver (female, 0.4%) were significant explanatory factors of overall burden. The caregivers' burden in acute stages during hospitalization following stroke was high. Recognition of high levels of caregivers' burden and those relating factors affecting caregiver burden may allow us to develop different nursing strategies to unload the level of burden for caregivers in acute stages of stroke.

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A Case Report of Intra-articular Bee Venom Pharmacopuncture combining with oriental medical treatment for Acute Traumatic Partial Tear of Meniscus (급성기 외상성 슬관절 반월상 연골판 손상 환자에 대한 기존 한방치료에 관절강내 봉약침 시술을 추가 시행한 치험 1례)

  • Lee, Jae-Hoon;Kim, Jun-Soo;Jeong, Young-Hoon;Jeong, Byul;Lee, Cha-Ro
    • Journal of Pharmacopuncture
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    • v.13 no.4
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    • pp.129-137
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    • 2010
  • This case was report of intra-articular bee venom pharmacopuncture injection on the patient with Acute Traumatic Partial tear of meniscus. We used intra-articular bee venom pharmacopuncture injection to Acute Traumatic Partial tear of meniscus diagnosed by symptoms and MR imaging. Be under treatment if necessary we prescribed herbal medication and physiotherapy. The state of patient was measured by Visual Analog Scale(VAS) and Walking time and Western Ontario and McMaster Universities(WOMAC) Index score. After several times of treatments, noticeable reduction of pain was measured and increased time of walking on floor and decreased WOMAC score. This results suggest that intra-articular bee venom pharmacopuncture injection are effective to treatments of Acute Traumatic Partial tear of meniscus.

Application of MAP and MLP Classifier on Raman Spectral Data for Classification of Liver Disease (라만 스펙트럼에서 간 질병 분류를 위한 MAP과 MLP 적용 연구)

  • Park, Aa-Ron;Baek, Seong-Joon;Yang, Bing-Xin;Na, Seung-You
    • The Journal of the Korea Contents Association
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    • v.9 no.2
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    • pp.432-438
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    • 2009
  • In this paper, we evaluated the performance of the automatic classifier applied for the discrimination of acute alcoholic liver injury and chronic liver fibrosis. The classifier uses the discriminant peaks of the preprocessed Raman spectrum as a feature set. In preprocessing step, we subtract baseline and apply Savitzky-Golay smoothing filter which is known to be useful at preserving peaks. After identifying discriminant peaks from the spectra, we carried out the classification experiments using MAP and neural networks. According to the experimental results, the classifier shows the promising results to diagnosis alcoholic liver injury and chronic liver fibrosis. Classification results over 80% means that the peaks used as a feature set is useful for diagnosing liver disease.

Ameliorating Effects of Moxifloxacin on Endotoxin-Induced Acute Lung Injury in Rats (흰쥐에서 내독소로 유도된 급성 폐손상에서 moxofloxacin의 개선효과)

  • Lee, Young-Man;Chae, Whi-Gun
    • Journal of Life Science
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    • v.21 no.8
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    • pp.1100-1108
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    • 2011
  • The immunomodulating effects of moxifloxacin seem to be effective in downregulating inflammatory reactions. This presumed effect was tested in endotoxin (ETX)-induced acute lung injury (ALI) in rats. After moxifloxacin treatment (10 mg/kg) of ETX-given rats, lung myeloperoxidase (MPO) activity, bronchoalveolar-lavage (BAL) protein, and the number of neutrophils in the BAL cells were measured. Light and electron microscopic structures were also examined. Electron microscopic $CeCl_3$ histochemistry for the detection of hydrogen peroxide in the lungs and immunohistochemistry of cytosolic phospholipase A2 (cPLA2) in the lung tissues and BAL cells were performed. To examine the expression of TNF${\alpha}$ in the lungs, western blotting was carried out with the lung tissues. ETX had accumulated neutrophils in the lungs, which was followed by lung leak. Oxidative stress occurred, and increased expression of cPLA2 in the lung tissues and BAL cells was observed in the ETX-given rats. Simultaneously, the expression of TNF${\alpha}$ was enhanced by ETX. Moxifloxacin, however, decreased all these parameters, indicating that ALI may have been ameliorated. Moxifloxacin appears to ameliorate ETX-induced ALI partially through the suppression of cPLA2 in the lungs of rats.

Imrnunodepression during experimental Naegzeria meningoencephalitis in mice (Naegleria 수막뇌염에 있어 세포매개성 면역에 관한 실험적 연구)

  • Im, Gyeong-Il;Yu, Jae-Suk;Lee, Geun-Tae
    • Parasites, Hosts and Diseases
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    • v.25 no.2
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    • pp.195-198
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    • 1987
  • In order to test the function of Iymphocytes in Naegleria fowleri-nniected mice, the in nitro blastogenic response of splenocyte cultures to non-specific mitogens was studied. Concanavalin A and lipopolysaccharide stimulation were used as tests of T cell and B cell function. For the first 14 days following N. fowleri infection, Iymphoblastic transformation induced by T-cell mitogen was markedly reduced in comparison to the uninfected control mice. The blastogenic response to B-cell mitogen remained depressed in the infected mice up to 14 days after infection. The fluorescent antibody titers of sera of N. fowleri infected mice were between 1 : 4 and 1 : 32. The results suggest that there is a suppression of cell mediated immunity during the acute course of experimental Naegleria meningoencephalitis in mice.

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Effect of Salviae Radix on renal tubular reabsorption in rabbits with mercury-induced acute renal failure (수은으로 유발된 토끼의 신장 기능 손상에 대한 단삼(丹參)의 효과)

  • Hwang, Young-Geun;Jeong, Ji-Cheon
    • The Journal of Internal Korean Medicine
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    • v.21 no.2
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    • pp.227-234
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    • 2000
  • 독성약물에 의한 급성신부전시 세뇨관세포의 물질 재흡수 장애에 대한 단삼(丹參) 추출액의 효과를 조사하였다. 토끼에 수은(HgCl2)을 10 mg/kg되게 피하 주사하여 급성신부전을 유발하였고, 단삼(丹參) 추출액의 효과는 수은을 주사하기 전 7일 동안 0.05% 액(液) 0.3 g/kg 용량을 경구 투여하여 관찰하였다. 수은을 주사하기 전 24시간 동안 요와 혈액을 채취하여 신장기능을 측정하여 대조기간(basal period)의 값으로 하였고, 수은을 주사한 후 24시간 동안 요와 혈액을 얻어 수은에 의한 신장기능 변화를 평가하였다. 수은을 처리한 후 사구체여과율이 대조값에 비해 감소하였고, 혈청내 creatinine 농도가 증가하였다. 이러한 결과들은 수은이 급성신부전을 유발하였음을 가리킨다. 수은을 처리한 동물에서 포도당 및 인산의 배설분율이 증가하였고, 이러한 변화는 brush-border membrane에서 물질의 이동장애와 Na-pump 활성의 감소에 기인하였다. 수은을 주사한 동물의 신장피질 절편에서 유기이온인 PAH와 TEA 이동이 억제되었다. 토끼의 신장조직에서 지질의 과산화가 수은을 주사한 후 증가하였다. 단삼(丹參) 추출액을 전 처리한 후 수은을 주사한 경우 수은에 의해 유발된 사구체여과율의 감소와 혈청내 creatinine 농도 증가 현상이 유의하게 완화되었다. 수은에 의한 세뇨관에서 물질의 재흡수 장애가 단삼(丹參) 추출액의 전처리에 의해 방지되었다. 단삼(丹參) 추출액은 수은에 의한 지질의 과산화를 억제하였다. 수은에 의한 급성신부전은 항산화제로 잘 알려진 DPPD에 의해 방지되었다. 이상의 결과를 종합하면 생체실험결과 수은에 의한 급성신부전의 유발과정에 지질의 과산화가 중요한 역할을 할 가능성을 보이고 있고, 단삼(丹參) 추출액은 수은에 의한 급성신부전을 방지하는 효과를 가지고 있으며, 그 효과는 단삼(丹參)의 항산화작용에 기인(起因)할 가능성이 많다.

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Two Cases of Acute Epiglottitis with Sitting up Position, Chin Thrust Forward, Having Dyspnea (특이한 이학적 소견을 보이는 급성 후두개염 2예)

  • Woo, Seung-Il;Koh, Young-Min;Ahn, Hye-Sook;Baik, Jae-Joong;Park, Keon-Uk;Chung, Yeon-Tae
    • Tuberculosis and Respiratory Diseases
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    • v.43 no.1
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    • pp.88-91
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    • 1996
  • Acute epiglottitis is a life threatening inflammatory. disease of the upper airway mainly in children, however, the recent reports about acute epiglottitis in adults are increasing. The common symptoms are sore throat, dysphagia, dyspnea and salivary drooling. As the laryngeal edema progresses, the patient sits up, leans forward, with the chin thrust forward, having obvious difficulty breathing. Early recognition and proper airway maintenance until the inflammatory edema subsides are essential steps to avoid a possible life threatening upper airway obstruction. We experienced two cases of acute epiglottitis with sitting up position, chin thrust forward, having dyspnea.

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Endoscopic Assisted Treatment of Acute Osteomyelitis with Extensive Subperiosteal Abscess in a Child - A Case Report - (광범위 골막하 농양을 동반한 소아 급성 골수염의 내시경적 치료 - 1예 보고 -)

  • Song, Kyeong-Seop;Jeon, Ho-Seung;Jeon, Seung-Joo;Kim, Hyung-Gyu;Cho, In-Kee
    • Journal of the Korean Arthroscopy Society
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    • v.10 no.2
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    • pp.199-202
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    • 2006
  • The effects of acute hematogenous osteomyelitis vary with a patient's age because of the differences in the blood supply and structure of the bone. In children older than 2 years of age, this process results in extensive abscess formation when both the endosteal and periosteal blood supply are destroyed. Thorough drainage of abscess cavity and removal of all dead or necrotic material are not always possible although large skin incision is made along the abscess. Authors successfully managed acute osteomyelitis of the tibia with extensive large abscess in a 11 year-old female, using minimal incisions and 4-mm endoscope.

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Efficacy of Terbinafine in Guinea Pigs Experimentally Infected with Microsporum gypseum Isolated from Nturally Infected Dog 1. The Biological Cycle of M. gypseum in Experimentally Infected Guinea Pigs (자연감염된 개에서 분리한 Microsporum gypseum을 인공감염시킨 기니픽에서 Terbinafine의 효과 1. 인공감염된 기니픽에 있어서 Microsporum gypseum의 생물학적 주기)

  • 임채형;이창우
    • Journal of Veterinary Clinics
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    • v.17 no.1
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    • pp.1-5
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    • 2000
  • Microsporum gypseum을 인공감염시킨 기니픽에서 terbinafine의 치료효과 실험을 위한 전단계 실험으로서 인공감염시킨 기니픽에서 M. gyspeum의 생물학적 주기를 조사하였는데, 이것은 인공감염된 후 효과적인 치료와 평가의 시기를 결정하기 위해 필요하였다. M. gypseum으로 인공감염된 기니픽의 생물학적 주기는 급성기 이후에 자연치유되는 것이 특징이었다. 증식기는 감염 후 5일부터 11일까지 지속되었다. 따라서 다음 번의 치료효과 실험에서 인공감염 당일부터 9일간 계속 terbinafine을 경구투구하고, 마지막 투여 다음 날 진균학적 및 임상적 평가를 하기로 결정하였다.

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The Study of IgG subclasses in Acute stage of Kawasaki Disease (급성기 가와사끼병 환아의 IgG 아형항체에 대한 연구)

  • Kim, Minshik;Kim, Youngsook;Cho, Namji;Kim, Kyungsook
    • Pediatric Infection and Vaccine
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    • v.4 no.1
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    • pp.140-149
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    • 1997
  • Purpose : Kawasaki Disease(KD) is a febrile disease with acute multisystemic vasculitis which is seen commonly in early childhood. The cause and etiologic agents are still unknown to identify using ordinary bacterial and viral culture, but the clinical labaratory studies suggest that KD is one of autoimmune disorder caused by infectious agents, but that is not proved yet. The study was performed to investigate the IgG subclasses in acute stage of KB before treatment of IVIG(Intravenous immunoglobulin). Method : The 35 cases in acute stage of KD before treatment of IVIG who were hospitalized from jan. 1995 to dec. 1996. The obtained sera were measured level of total IgG, IgM, IgA, IgE and IgG subclasses IgGl, IgG2, IgG3, IgG4 by using EIA and SRID method. Results : 1) The sex ratio is male to female is 1.5: 1.0, and male is prone to infected. 2) Total IgG, IgM, IgA and IgE level is normal range with age adjusted, but few cases are shown slight high level of total IgG compare to normal range of age adjusted. 3) acute phage reactants such as CRP, C3, ESR are all increased in acute stage of cases. 4) IgG subclasses IgGl, IgG2, IgG3 are shown normal range of age adjusted, but remarkably low level of IgG4 in all of cases. Conclusions : The low level of IgG4 is able to increasing the incidence of KD, and may use early diagnostic tools combine with other clinical symptoms and signs. But the resulsts of reported studies are different to each other, so it needs more times and cases to get final evaluation of changes of serum immnunoglobulin levels correlate to increase the incidence of high risk group of KD patients.

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