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Characteristics of the Oropharyngeal Swallowing Impairment in Stroke Patient using the Modified Barium Swallowing Impairment Profile (MBSImP에 따른 뇌졸중 환자의 삼킴 장애 양상 분석)

  • Im, Ikjae
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.20 no.7
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    • pp.36-44
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    • 2019
  • Swallowing impairment is a frequent complication following stroke. The characteristics of swallowing impairment with stork patient can facilitate identification of individuals at risk of dysphagia would be of great helpful. The present study examined oropharyngeal swallowing impairment with subacute stroke patients using the Modified Barium Swallowing Impairment Profile(MBSImP). The 49 consecutive patients with the supratentorial stroke met inclusion criteria for the present study. A retrospective review was performed of patients who underwent the videofluoroscopic swallowing study(VFSS). Of Stroke patients, 95.9% exhibited abnormal function of lip closure. 98% and 57.1 % shown abnormal tongue function and lingual motion, respectively. Oral residue was present in 51% and delayed pharyngeal response was present in 89.9%. In addition, abnormal laryngeal and hyoid excursion was seen in 42.9% and 87.8%, respectively. Abnormal function of soft palate elevation was present in 18.4% and abnormal epiglottic movement was seen in 4.1%. 30.6% of 30.6% of these patients exhibited abnormal laryngeal closure. All of the stroke patients(100%) in this study exhibited abnormal pharyngeal stripping wave and pharyngoesophageal segment opening. Abnormal tongue base retraction and oral reside were present 91.8%, respectively. The results suggest that stroke patient is more likely to exhibit reduced swallowing functions including lip closure, tongue control, initiation of pharyngeal swallow, anterior hyoid motion, tongue base retraction, pharyngeal residue and pharyngoesophageal contraction. Therefore, these data could provide valid and precise information regarding physiological evidence to delineate symptoms of dysphagia in this stroke cohort. Future studies should explore the bolus effect in the swallowing impairment.

Protective Effect of Agrimonia pilosa var. Extract on Cultured NIH3T3 Fibroblasts Damaged by Potassium Dichromate (크롬염으로 손상된 배양 NIH3T3 섬유모세포에 대한 짚신나물 추출물의 보호 효과)

  • Lee, Jun-Hee;Seo, Young Mi
    • Korean Journal of Clinical Laboratory Science
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    • v.51 no.2
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    • pp.205-213
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    • 2019
  • The protective effect of Agrimonia pilosa var. (AP) extract on potassium dichromate ($K_2Cr_2O_7$)-induced cytotoxicity in cultured NIH3T3 fibroblasts, was examined by performing an XTT assay for the cell viability and antioxidative effects, such as lactate dehydrogenase (LDH) activity and superoxide anion-radical (SAR) scavenging activity. In this study, $K_2Cr_2O_7$ decreased the cell viability significantly in a dose-dependent manner, and the $XTT_{50}$ value was determined to be $37.5{\mu}M$, which was highly-toxic according to the Borenfreund and Puerner' toxic criteria. The antioxidant, butylated hydroxytoluene (BHT), increased remarkably the cell viability damaged by $K_2Cr_2O_7$-induced cytotoxicity in these cultures. With regard to the protective effect of the AP extract on $K_2Cr_2O_7$-induced cytotoxicity, AP extract produced a significant increase in cell viability and antioxidative effects as the inhibitory ability LDH and SAR scavenging ability. These findings suggest that oxidative stress is involved in the cytotoxicity of $K_2Cr_2O_7$, and the AP extract effectively protected the cells from $K_2Cr_2O_7$-induced cytotoxicity by antioxidative effects. These results suggest that natural resources, such as AP extract, may be a putative therapeutic agent for the diminution or treatment of cytotoxicity induced by heavy metallic bases, such as $K_2Cr_2O_7$ correlated with oxidative stress.

Antioxidative Effect of Aster yomena (Kitm.) Extract on C6 Glioma Cell Line Damaged by AlCl3, Dementia Inducer (치매유발물질인 염화알루미늄으로 손상된 C6 신경교종 세포주에서의 항산화 효과)

  • Seo, Young-Mi
    • Korean Journal of Clinical Laboratory Science
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    • v.52 no.4
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    • pp.408-416
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    • 2020
  • This study examined the neuronal cytotoxicity of aluminum chloride (AlCl3), a dementia inducer, and the protective effects of Aster yomena (Kitam.)(AY) extract on AlCl3-induced cytotoxicity in cultured C6 glioma cells. The antioxidative effects, such as the inhibitory ability of xanthine oxidase (XO) and superoxide anion-radical (SAR) scavenging ability, on cell viability were examined. AlCl3 decreased the cell viability significantly in a dose-dependent manner, and the XTT50 value was 130.0 μM in these cultures. The cytotoxicity of AlCl3 was determined to be mid-toxic according to the Borenfreund and Puerner' toxic criteria. Quercetin (QU), an antioxidant, increased the cell viability reduced by AlCl3-induced cytotoxicity. The protective effect of the AY extract on AlCl3-induced cytotoxicity was analyzed. The AY extract increased the cell viability remarkably compared to the AlCl3-treated group and showed the inhibitory ability of XO and SAR-scavenging ability. The cytotoxicity of AlCl3 was correlated with oxidative stress, and the AY extract effectively prevented AlCl3-induced cytotoxicity through its antioxidative effects. In conclusion, natural resources, such as the AY extract, may be a putative agent for improving the cytotoxicity of heavy metallic compounds correlated with oxidative stress, such as AlCl3, a morbid agent.

Review on factors affecting the optical properties of dental zirconia (치과용 지르코니아의 광학적 성질에 영향을 미치는 요소에 대한 문헌고찰)

  • Park, Chan-Ho;Ko, Kyung-Ho;Park, Chan-Jin;Cho, Lee-Ra;Huh, Yoon-Hyuk
    • Journal of Dental Rehabilitation and Applied Science
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    • v.37 no.4
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    • pp.177-185
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    • 2021
  • Clinical applications of translucent zirconia as well as traditional zirconia (3 mol% yttria stabilized tetragonal zirconia polycrystal, 3Y-TZP) are increasing. For this reason, studies on factors affecting the optical properties of dental zirconia have been continuously reported. The optical effect of dental zirconia may vary depending on the yttria content, the thickness of the prosthesis, the sintering process, polishing, glazing and cementation in laboratory and clinical procedures. Increasing the yttria concentration can reduce the masking effect. Translucency decreases as the thickness of the restoration increases, but the required thickness may vary depending on the properties of the zirconia block. The high-speed sintering method can shorten the manufacturing time, but in some cases, the translucency of the prosthesis may decrease. In addition, the optical properties can be affected by the surface roughness of zirconia and the polishing process. The use of an appropriate colored cement can help with the masking effect of zirconia and can be useful for color matching for more esthetic results.

An Analysis on the Participation Factors of Volunteer Activities for Life Care and Wellness of the Elderly (노인의 라이프케어와 웰니스를 위한 자원봉사활동 참여요인 분석)

  • Kim, Hee-Young
    • Journal of Korea Entertainment Industry Association
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    • v.15 no.3
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    • pp.269-278
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    • 2021
  • This study was inteded to include online social relations and ability use information and communication devices to analyze the elderly's participation in volunteer activities and provide basic data to identify the elderly's participation in volunteer activities. The statistical data of the 2017 National survey of Senior Citizen, only 10,073 people aged 65 or older were sampled out of 10,299 people. The participation rate of volunteering was frequently analyzed, and the difference in participation in volunteer according to the factors was Chi-square analysis and One-way variance analysis. A polynomial regression analysis was conducted to identify the effect factors of participation in volunteering. As a results. 3.9% of older adults are volunteering and 11.5% are experienced in the past. Participation in volunteer activity differed significantly depending on age, education level, economic level, subjective health, body function, ability use information and communication devices, social networks, frequency of face-to-face contact and frequency of non face contact. In the regression analysis, utilization of communication and device, social networking, face to face contact frequency were show to be the effect factors. In order to promote elderly's participation in volunteer activities, consideration of related resources reported in prior studies, social relations, frequency of face-to-face contact and ability to use information and communication devices is considered important.

Recent Domestic and Abroad Parasite Infection Patterns and Control, and Major Cases (최근 국내외 기생충감염 양상과 관리의 고찰과 주요 증례)

  • Kim, Dong-Chan;Lee, Hyung Hoan
    • Journal of Naturopathy
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    • v.11 no.2
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    • pp.136-142
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    • 2022
  • Background: We are necessarily considering changes in the parasite infection rate and methods in Korea from 1970 to the present from the perspective of natural healing. Purposes: This study was to investigate how the difference in the rate of reduction in infection rate has changed and progressed to the present. Methods: A literature review was conducted. Results: Until the 1970s, Korea had one of the highest parasite infection rates. The Parasitic Disease Prevention Act was enacted to control the infection rate in 1966. From 1969, the nationwide national parasite management project was conducted for all students twice a year to treat all parasitic eggs until 1995. In addition, the government commissioned the Korean Association for Parasite Eradication (KAPE) to conduct a national parasite infection survey eight times, from 1971 to 2012, every two years. As a result, the overall egg positive rate of parasite was 84.3% in 1971 but decreased to 2.6% in 2012. In addition, Ascaris lumbricoides, Paragonimus westermani, Taenia spp., and intestinal protozoa were significantly reduced nationwide. Conclusions: Successful control in Korea is judged to have achieved a successful effect by systematically managing national economic growth, social consensus on parasite eradication, improved professional parasite prevention guidelines, and supply of effective anthelminthics.

Comparison of Blood Test Results and Symptoms of Patients with COVID-19 Monoinfection and with COVID-19 and Influenza Virus Co-Infection (COVID-19 단일 감염 환자와 COVID-19 및 인플루엔자 바이러스 동시 감염 환자의 혈액 검사 결과 및 증상 비교)

  • Jung, Bo Kyeung;Ham, Seung Keun;Kim, Jae Kyung
    • Korean Journal of Clinical Laboratory Science
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    • v.54 no.2
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    • pp.103-109
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    • 2022
  • In December 2019, the coronavirus disease 2019 (COVID-19) caused by the virus, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) emerged in China and spread rapidly around the world, infecting millions of people. Cases of COVID-19 infection were observed to lead to viral pneumonia. Thirty-five patients admitted to the Gyeonggi Medical Center, South Korea, between November 2020 to January 2021, were found to have been infected with the influenza virus A and B, which cause symptoms similar to COVID-19. The records of these patients and those of COVID-19 patients who visited the hospital for medical examination were compared. The study patients included thirty patients with COVID-19 and/or influenza, five of those with influenza alone. A group of 121 patients without infection was used as control. Patients with COVID-19 and influenza had significantly higher lactate dehydrogenase levels than the patients with COVID-19 alone. The erythrocyte sedimentation rate (ESR) was higher in patients with COVID-19 alone than in other groups. Significant clinical outliers were observed in the COVID-19 and influenza infection group compared with the COVID-19 alone group. These results are expected to play an important role in the analysis of the hematological data of infected patients and the comparison of simultaneous and single infection data to determine clinical symptoms and other signs. These results may also assist in the development of vaccines and treatments for COVID-19.

Withdrawal time study of lincomycin administered intramuscularly to olive flounder Paralichthys olivaceus, and in vitro efficacy evaluation against Gram-negative bacterial pathogens (넙치에서 lincomycin 근육투여에 따른 휴약기간 도출 및 병원성 그람음성 세균에 대한 약효 평가)

  • Eun Ha, Jeong;Keun-Taek, Kim;Dong Hun, Shin;Jun Sung, Bae;Kang Uk, Lee;Chae Won, Lee;Chan Yeong, Yang;Areum, Kim;Ji-Hoon, Lee;Su-Jin, Bak;Kwan Ha, Park
    • Journal of fish pathology
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    • v.35 no.2
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    • pp.195-203
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    • 2022
  • This study was performed to delineate pharmacokinetic residue characteristics of lincomycin (LM) in olive flounder at low water temperature (13℃), and to examine whether LM is effective against main Gram-negative pathogens. It was observed that the times for residue declined below the maximal residue limit (0.1 mg/kg) in the muscle was, respectively, 32, 33 and 55 days following 10, 20 and 40 mg/kg intramuscular LM injections. The in vitro MIC value of LM against Edwardsiella piscida was higher than 256 ㎍/mL and against Vibrio harveyi 32 ㎍/mL when examined with several clinical isolates. These results suggest that the withdrawal time of LM should be more than 30 days in consideration of the 10 mg/kg employed as the regular clinical dose. It was also found that LM administered to treat streptococosis in olive flounder is not likely to be effective against some pathogenic Gram-negative bacteria.

Signifiant and Lacan Psychoanalysis Narcissism of Repetition and Reflection (시니피앙과 라캉 정신분석 반복과 반영의 나르시시즘)

  • Lee, Dong Seok
    • The Journal of the Convergence on Culture Technology
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    • v.7 no.4
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    • pp.75-83
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    • 2021
  • This study will analyze the meaning of the signifiant, which occupies an absolute position in Lacanian psychoanalysis, and will prove the slip of meaning and signification that are accompanied together at the same time when the signifiant was utter through the subject. By directly citing the part where Lacan explained signification in his seminars and Écrits, I would like to examine how signifiant is carried out in everyday conversation. In addition, the dialogue that takes place in our discourse has the purposefulness and groundless purposelessness of the signifiant. Understanding this purpose is the core part that Lacanian psychoanalysis aims to pursue, and it discovers the cracks of the hidden meaning in the relationship between the signifiant and the signifiant connected to the next, presenting that the signifiant which arouses unrelenting fantasy of the subject is the practical ruler of body and mind. This thesis is aimed to present the above points mentioned above, and as an alternative to overcome the limitations of the signifiant, the ruler in discourse, this study would like to suggest the autonomy as a subject resisting against "Where it was, I must come into being," pursued by Lacan psychoanalysis.

Antioxidative Effects of Parnassia palustris L. Extract on Ferrous Sulfate-Induced Cellular Injury of Cultured C6 Glioma Cells (파킨슨씨병 유발물질인 황산철로 손상된 배양 신경아교세포에 대한 물매화 추출물의 항산화 효과)

  • Young-Mi, Seo;Seung-Bum, Yang
    • Korean Journal of Clinical Laboratory Science
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    • v.54 no.4
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    • pp.298-306
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    • 2022
  • This study sought to evaluate the mechanism of cellular injury caused by ferrous sulfate (FeSO4) and the protective effects of Parnassia palustris L. (PP) extract against FeSO4-induced cytotoxicity of cultured C6 glioma cells. FeSO4 is known to cause neurotoxicity and induce Parkinson's disease. The antioxidative effects of PP, such as superoxide dismutase (SOD)-like and superoxide anion-radical (SAR)-scavenging activities, as well as effects on cell viability, were studied. FeSO4 significantly decreased cell viability in a dose-dependent manner and the XTT50 value, the concentration of FeSO4 which reduced the cell viability by half, was measured at 63.3 μM in these cultures. FeSO4 was estimated to be highly cytotoxic by the Borenfreund and Puerner toxicity criteria. Quercetin, an antioxidant, significantly improved cell viability, damaged by FeSO4-induced cytotoxicity. While evaluating the protective effects of the PP extract on FeSO4-induced cytotoxicity, it was observed that the extract significantly increased cell viability compared to the FeSO4-treated group. Also, the PP extract showed superoxide dismutase (SOD)-like and superoxide anion radical (SAR)-scavenging activities. Based on these findings, it can be concluded that FeSO4 induced oxidative stress-related cytotoxicity, and the PP extract effectively protected against this cytotoxicity via its antioxidative effects. In conclusion, natural antioxidant sources such as PP may be agents useful for preventing oxidative stress-related cytotoxicity induced by heavy metal compounds such as the FeSO4, a known Parkinsonism inducer.