• Title/Summary/Keyword: 복합질환

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Hiatal Hernia in Neonate (신생아의 식도 열공 탈장)

  • 임용택;정승혁;김민용;김병열;이정호
    • Journal of Chest Surgery
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    • v.34 no.2
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    • pp.184-188
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    • 2001
  • 선천성 횡경막탈장은 2000∼5000명의 신생아 당 한명 꼴의 발생율을 가진 드문 질환이다. 그 중 신생아에서 열공탈장은 더욱 희귀한 질환이다. 저자는 생후 1주일된 신생아의 선천성 복합열공탈장을 경험하였다. 진단은 빠른 시간내 이루어졌으며 수술은 우측 흉곽절제술을 통해 탈장된 장기를 복원하고 Belsey-mark IV 술식을 시행하였다. 환아는 술후 3일째 음식을 먹었고 퇴원 6개월후 지금까지 별 문제없이 잘 지내고 있다.

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항문성교가 HIV감염의 중요원인 중 하나

  • 대한에이즈예방협회
    • RED RIBBON
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    • s.63
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    • pp.20-22
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    • 2005
  • 항문외과에서 에이즈 감염을 의심해야 할 경우는 항문 성교에 의한 물리적인 병변 및 성병의 형태로 나타나는 경우와 에이즈에 의해 면역이 저하됨에 따라 나타나는 여러 가지 기회 질환의 형태로 나타날 수 있다. HIV 감염자 및 AIDS환자의 항문, 직장 병변은 면역 저하와 관련된 여러 종류의 드문 감염질환과 종양의 형태로 나타날 수 있고 2가지 이상의 질병이 복합적으로 나타나는 경우가 흔하다. 많은 감염이 항문 성교를 받는 동성연애 남성에서 나타나지만 항문 성교의 과거력이 없는 이성 연애 남성 및 여성에게서도 생길 수 있다. 최근에는 이성간의 항문 성교가 HIV 감염의 중요한 원인 중 한가지로 강조되고 있다.

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당뇨병환자의 발에 나타나는 말초혈관질환

  • Han, Seung-Gyu
    • The Monthly Diabetes
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    • s.213
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    • pp.14-16
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    • 2007
  • 당뇨병 합병증 중의 하나인 당뇨발을 일으키는 원인에는 여러 가지 요인이 복합적으로 관련된다. 이들 요인 중 특히 조심해야 할 사항이 세 가지 있는데 말초혈관이상, 세균감염, 신발 등에 의해 발에 가해지는 과도한 압력이다. 세균감염이나 부적절한 신발착용, 보행에 의한 발부위의 압력증가는 적절한 치료와 주의를 통해 충분히 극복 될 수 있는 문제지만 말초혈관병변은 사실 불가항력적인 면이 있기 때문에 가장 치료가 어려운 부분이다. 따라서 당뇨발 환자의 말초혈관질환에 대해 서술하고자 한다.

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Functionality Analysis of Korean Medicine Fermented by Lactobacillus Strains (유산발효에 의한 발효한약의 기능분석)

  • Kang, Dong-Hee;Kim, Hyun-Soo
    • Microbiology and Biotechnology Letters
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    • v.39 no.3
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    • pp.259-265
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    • 2011
  • Through the process of fermentation with Lactobacillus strains this study has evaluated the functionality of the traditional Korean medicine Bangpungtongsungsan after the addition of four other medicinal ingredients. In order to facilitate the growth of the Lactobacillus strains brown sugar was added to the herbal substances used. For both DPPH radical scavenging activities and SOD-like activities the medicinal mixture, when fermented through heterogeneous co-cultures, scored higher (at 77% and 42%, respectively) than when not fermented (at 31.7% and 36.3%, respectively). The co-cultured Korean medicine inhibited the growth of Bacillus subtilis PCI 219, Pseudomonas aeruginosa KCTC 2004, Staphylococcus aureus subsp. aureus KCTC 1916 and Propionibacterium acnes KCTC 3314. The inhibiting effects on ${\beta}$-hexosaminidase released from RBL-2H3 cells caused by the mixture, with and without fermentation, was seen to be similar (57% and 60%, respectively).

The Development of Convergence Bench-making system on length of stay (융복합 재원일수 벤치마킹 시스템 개발)

  • Choi, Youn-Hee;Kim, Yun-Jin;Kang, Sung-Hong
    • Journal of Digital Convergence
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    • v.13 no.5
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    • pp.89-99
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    • 2015
  • This study aims to develop a LOS(Length of Stay) bench-making system that can provide efficient by comparing the LOS management of other hospital and level evaluation for inducing the LOS to manage their own activities. The convergence LOS bench-making web program has been implemented to compare a variety of beds, regional group, followed reporting with excel files downloads by using the severity-adjusted LOS model of Korean National Hospital Discharge in-depth Injury Survey data. Features that are computed in real-time severity-adjusted LOS was also implemented. Trial operating results, bench-making system was confirmed efficient for management of LOS on the long-term care and group of disease in hospital from the staff or medical department, receive requests comparative statistics by area and disease group. Therefore the policy alternative on extension of severity-adjusted LOS is needed to utilized bench-making system on LOS.

Research on Natural Medicine for Wellness and Oral Health (웰니스 및 구강질환억제를 위한 천연물 유래물질 연구)

  • Park, Hae-Ryoung;Hong, Suk-Jin
    • Journal of Digital Convergence
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    • v.13 no.5
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    • pp.357-363
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    • 2015
  • This study investigated the antioxidant and anti-inflammatory effects of Galla Rhois (Rhus verniciflua) on LPS (lipopolysaccharide)-stimulated human osteoblastic cells (MG-63). The aim of this study was to evaluate the LPS induced nitric oxide (NO) production and antioxidant radical in human osteoblast-like MG-63 cells. Therefore, the present work indicate that Galla Rhois extracts may be an ideal candidate for further research into their use for dental caries prevention component as well as, natural plant-based products. This suggested that 80% methanol and hexane extracts of Galla Rhois were inhibited NO generation and 1,1-diphenyl-2-pirylhydrazyl (DPPH) radical. Therefore, 80% methanol and hexane extracts of Galla Rhois may be utilized as a good source of protection against inflammation and oxidative stress. This study is intended to pursue wellness convergence in quality of life in the excavations in natural ingredients to create a variety of oral products with fewer side effects, cheap oral products for the dental treatment.

A Study on Small Area Variations of Hospital Services Utilization in Some Acute diseases -Focused on Gastric Diseases and Acute Appendicitis (일부 급성질환의 지역간 입원의료이용 변이에 관한 연구 -위장질환과 충수염질환을 중심으로-)

  • Kwon, Young-Chae;Kim, Kwang-Hwan;Chang, Dong-Min
    • Journal of Digital Convergence
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    • v.10 no.7
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    • pp.193-200
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    • 2012
  • This study aims to provide an important base resource for the effective medical supply system construction by figuring out the characteristics and changes of admission medical use of gastritis in 160 middle treatment areas classified by 2008 patient examination resources, and by figuring out factors affecting on changes. As a result, in terms of admission rate according to sex and age standardization per small area, there were differences as EQ was 15.1 and CV was 0.4. Top 10 variations were mainly in rural areas. It showed significant positive relations between admission and the number of bed, doctor and special medical equipment per 10,000 population. It is recommended that the government set a priority in the management of regional bed supply and the distribution of efficient medical resources.

Comparison of Vessel Disease and Gensini Score according to Ankle-Brachial Index in Patients with Cardiovascular Disease (심혈관 질환자의 발목-상완 지수에 따른 Vessel disease 및 Gensini score 비교 융복합 연구)

  • Choi, Suk-Kyeong;Choi, Hye-Ran
    • Journal of Digital Convergence
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    • v.15 no.1
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    • pp.267-275
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    • 2017
  • The purpose of this study was to evaluate the clinical availability of ankle-brachial index(ABI) according to severity of cardiovascular disease. The subjects of this study were the patients who had ABI in a general hospital. In this study, total 441 patients were enrolled for analysis. Electric medical records were reviewed to investigate the result of ABI and severity of cardiovascular disease measured vessel disease and Gensini score. Collected data were analyzed using SPSS 21.0 program. Subjects with $ABI{\leq}0.90$ and > 0.90 were classified as having abnormal and normal ABI. There were significant differences in vessel disease categorization($x^2=4.731$, p=.030) and Gensini score(t=2.351, p=.019) between two groups. Therefore, ABI is an effective and non-invasive tool for the diagnosis of cardiovascular disease with high severity. ABI is a valuable predictive index of ischemic heart disease.

Comparison of Factors Influencing Health-Related Quality of Life between middle-aged and Senior-aged Patients with Complex Chronic Diseases: Analysis of the 2018 Korea Health Panel Data (중장년 복합만성질환자의 건강관련 삶의 질 영향요인: 2018년 한국의료패널 자료 분석)

  • Kim, Sang-Mi;Park, Hye-Seon
    • The Journal of the Convergence on Culture Technology
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    • v.10 no.1
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    • pp.235-244
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    • 2024
  • This study is a descriptive exploratory research aimed at identifying factors influencing the health-related quality of life(HRQOL) in middle-aged and senior-aged patients with complex chronic diseases. The study participants were extracted from the Korean Medical Panel annual data. A total of 2,408 patients, with two or more chronic diseases were included. The data were analyzed using STATA 15.0 software through descriptive statistics, t-tests, ANOVA, and multiple linear regression analysis. The research findings indicate that in middle-aged patients, educational level, household income, economic activity, stress, experience of despair, and basic needs satisfaction positively influence health-related quality of life. On the other hand, types of medical insurance, depressive feelings, and suicidal ideation exert a negative impact. In the case of senior-aged patients, positive influences on health-related quality of life were observed for educational level, household income, economic activity, alcohol consumption, stress, experience of despair, and basic needs satisfaction. Conversely, negative influences were noted for marital status, types of medical insurance, depressive feelings, and suicidal ideation. Therefore, in order to enhance the HRQOL for middle-aged and senior-aged patients with complex chronic diseases, tailored policies considering individual and age-specific characteristics should be formulated.

Complex febrile convulsions: A clinical study (복합 열성 경련에 대한 임상적 고찰)

  • Kang, Jeong Sik;Kim, Sa-Ra;Kim, Dong Wook;Song, Tae Won;Kim, Nam Hee;Hwang, Jong Hee;Moon, Jin Soo;Lee, Chong Guk
    • Clinical and Experimental Pediatrics
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    • v.52 no.1
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    • pp.81-86
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    • 2009
  • Purpose : Febrile convulsions are classified into simple or complex types, the latter being characterized by increased risk of recurrence and progression to epilepsy. This study aimed to delineate the clinical characteristics of complex febrile convulsions. Methods : Between January 2003 and December 2006, 550 children were diagnosed with febrile convulsions at the Department of Pediatrics, Ilsan Paik Hospital. Their medical records were retrospectively reviewed for comparison between simple and complex febrile convulsions, and clinical findings of complex febrile convulsions were clarified. Results : Our subjects comprised a male-to-female ratio of 1.64:1; the age range was from 8 months to 8 years. Simple febrile convulsions comprised 432 cases, i.e., 4 times as many as complex febrile convulsions (118 cases). The causes of febrile illness included acute pharyngotonsillitis (357 cases, 64.9%), pneumonia (55 cases, 10.0%), acute gastroenteritis (37 cases, 6.7%), and otitis media (20 cases, 3.6%). We did not find any significant difference between simple and complex febrile convulsions in most clinical parameters such as gender, age, family history of febrile convulsions, and cause of febrile illness. Regarding subtypes of complex febrile convulsions, repeated convulsions were the most frequent (72.0%), followed by prolonged convulsions (16.9%) and focal convulsions (5.1%). Conclusion : We have reported here the clinical features of complex febrile convulsions. Although the results did not show any significant difference between simple and complex febrile convulsions in most clinical parameters such as gender, age, family history of febrile convulsion, and cause of febrile illness, further studies are essential to delineate complex febrile convulsions.