• Title/Summary/Keyword: 임상 경과

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A Study of Storm Surges of the Seas in North eastern asia I. Analysis of Yearly Maximum Surge (東北 아시아 海域의 暴風海溢 硏究 I. 暴風海溢 年別 極値 分析)

  • 이진경;오임상
    • 한국해양학회지
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    • v.29 no.1
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    • pp.28-41
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    • 1994
  • The hourly sea level data are analyzed in order to find the general characteristics of the storm surges at the coasts of Korea, Japan and Russia. the surges are calculated by removing the predicted tides from the observed sea level at 44 tidal stations. In korea, positive and negative surges of the west coast are larger than those of the south and east coasts. The magnitudes of negative surges are larger than those of positive surges at the west of Japan. The surges of the northern Russian coast are relatively larger than those of the southern west coast of japan. The yearly maximum positive surges at the west coast of Korea, are found to be caused by extratropical storm, but the maximum positive surges at the south or the east coast of Korea are due to the summer typhoon. Mostly the yearly maximum negative surges occur at the west coast of Korea (particularly Inchon), and they are caused by extratropical storm.

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Protective effects of Juglandis semen on amyloid-${\beta}$-induced neuronal toxicity and lipid peroxidation in rat astrocytes (흰쥐의 뇌 Astrocyte에서 amyloid-${\beta}$ 25-35로 유발된 세포 독성과 지질과산화에 대한 호도(胡桃)의 보호효과)

  • Jang, Mi-Kyung;Park, Jong-Hyuck;Jeong, Ji-Cheon;Kim, Cheorl-Ho;Yoon, Cheol-Ho
    • The Journal of Internal Korean Medicine
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    • v.21 no.2
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    • pp.235-241
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    • 2000
  • 호도(胡桃)(Juglandis semen)가 치매에 미치는 영향을 알아보기 위하여 치매(Alzheimer's disease) 유발물질로 알려진 amyloid-{$\beta}(A{\beta})$ 25-35를 흰쥐의 뇌 신경세포의 일종인 astrocyte에 처리한 후 뇌의 신경세포에 대한 독성 및 세포막에서의 지질 과산화에 미치는 영향을 검토하였다. 호도(胡桃)는 $A{\beta})$ 25-35로 인한 신경세포의 파괴를 억제하는 것으로 나타나 신경세포의 손상을 예방하고 보호하는 효과가 있었다. 그리고, 지질의 과산화 지표인 malondialdehyde 생성은 $A{\beta})$ 25-35 처리로 크게 증가하였으나, 호도(胡桃)의 전처리와 후처리로 크게 감소되어 호도(胡桃)가 세포막 파괴로 인한 뇌세포의 손상을 방지하는 것으로 나타났다. 이러한 결과들을 볼 때, 호도(胡桃)는 신경세포의 하나인 astrocyte에 대한 보호효과와 세포막에서 지질의 과산화를 저해 및 $A{\beta})$ 25-35 처리와 같은 치매 유발 독성에 대한 적응능력 향상을 통하여 뇌 신경세포를 보호하는 효과가 있음을 보여주는 것으로 노인성 치매 등의 임상적 응용에 그 효과가 기대된다.

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Quality Assessment of Randomized Controlled Trials using Herbal Remedies in Korea (국내 한약 처방을 이용한 무작위 배정 임상연구논문의 질 평가)

  • Kim, Yun-Young;Yoo, Jong-Hyang;Lee, Su-Kyung;Lee, Si-Woo
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.25 no.5
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    • pp.927-933
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    • 2011
  • This study aimed to evaluate the quality of herbal medicine-related RCT (Randomized controlled clinical trial) papers. 79 papers were searched from the domestic Hakjin paper list, and 16 papers of them were evaluated in terms of the Jadad Quality Assessment Scale and the adequacy of allocation concealment, and ethical validity. The evaluation results from Jadad Quality Assessment Scale showed that 15 papers showed high quality with the Jadad score of 3 points or higher, and none of the papers had a problem with randomization and double-blinding. The evaluation results from adequacy of allocation concealment showed that 3 of the papers were executed proper allocation concealment, and all of them had 5 points of Jadad score. IRB (Institutional Review Board) approval and written consent was investigated for the evaluation of ethical validity, and 12 papers had the IRB approval, and 14 papers had written consent. The papers published before 2005 were absent of IRB approval and written consent, and none of the papers had IRB approval number. From the above results, it is concluded that rigorous clinical research led high quality of research papers, and the ethical aspect of clinical researches are getting more important to protect the rights of research participants.

Analysis of Clinical Research Trends on Quantitative Indicators of Mibyeong in China - Using China National Knowledge Infrastructure - (미병 정량 지표에 관한 중국의 임상연구 동향 분석 - China National Knowledge Infrastructure를 중심으로 -)

  • Yeo, Minkyung;Lee, Youngseop
    • Journal of Society of Preventive Korean Medicine
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    • v.22 no.1
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    • pp.15-28
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    • 2018
  • Objectives : The purpose of this study was to analyze the trend of clinical research on quantitative indicators of Mibyeong in traditional chinese medicine(TCM). Method : The journal search was performed using china national knowledge infrastructure(CNKI) database. Our inclusion criteria were as following: TCM clinical researches for quantitative indicators of Mibyeong. Exclusion criteria were as following: non-TCM clinical researches, used intervention methods. Results : Eleven clinical researches were analyzed in this study. Four of these researches classify the Mibyeong as a type of pattern identification(PI) and studied the characteristics of the PI quantitative indicators. Mibyeong diagnosis was done through guidelines and questionnaires, each was used at a similar rate. Quantitative indicators mentioned in the selected researches were blood indices, nailfold capillary, complexion, color of tongue substance and coating, pulse wave diagrams and heart rate variability. Among them, seven researches related to blood indices were the most. Blood indicators include whole-blood viscosity, plasma viscosity, fibrinogen, packed cell volume(Hct), triglycerides, total cholesterol, HDL-C, LDL-C, glucose, BUN/CREA, luteinzing hormone, estradiol, follicle stimulating hormone, IgA, IgG, etc. Conclusions : Based on this results, in combination with western medicine, it seems necessary to try to interpret the Mibyeong in more various ways. Even if the same Mibyeong, it is necessary to identify the index which changes according to the PI or chief complaint, and to set the Mibyeong standard corresponding thereto.

Midgut Volvulus of Infant Simulating Intussusception Diagnosis with Color Doppler Ultrasonography (장중첩증의 임상양상을 보였던 영아의 중장 염전증(Midgut volvulus) 1례 -복부 초음파검사를 이용한 진단-)

  • Lee, Hae-Kyoung;Kim, Je-Woo;Oh, Phil-Soo;Lee, Young-Ah;Choi, Ha-Joo;Yun, Hea-Sun;Yang, Ik;Lee, Kyung-Won;Lee, Jae-Jung
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • v.1 no.1
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    • pp.133-137
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    • 1998
  • Although midgut volvulus is clinically characterized by bilous vomiting and abdominal distention, plain abdominal X-ray is usually non-specific and therefore it can be misdiagnosed to other diseases. Upper gastrointestinal contrast study and computed tomography have been used as a routine diagnostic tool but it takes cost and time. Abdominal ultrasonography is a relatively good alternatives in diagnosing midgut volvulus and it relatively saves cost and time. But case presentation of midgut volvulus diagnosed with abdominal ultrasonography are rarely found in literature. We experienced a 6 month old girl who had come to our hospital with bilous vomiting and was diagnosed as midgut volvulus with ultrasonography. Thus we report this case with the presentation of typical ultrasonographic findings of midgut volvulus.

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Radiographic Classification and its Clinical Features for Metaphyseal Cortical Defect of the Distal Femur (대퇴골 원위부 골간단의 피질골 결손에 대한 방사선학적 분류 및 그에 따른 임상적 경과관찰)

  • Park, Il-Hyung;Oh, Chang-Wug;Min, Woo-Kie
    • The Journal of the Korean bone and joint tumor society
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    • v.5 no.1
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    • pp.17-22
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    • 1999
  • Over 60 cases were enlisted, but only 31 cases among 24 patients were eligible with a minimum follow-up of 1 year and complete medical documents with imaging data. There were 18 boys and 6 girls, and 7 patients had bilateral lesions. The age of the patients ranged from 2 to 20 years(mean:10.5 years). At their first visit, most lesions had a highly characteristic location and radiographic appearance of radiolucent lesion(s) ranging from 1 to 3cm, except for one case of 5.5 cm in the posteromedial comer of distal femoral metaphysis. The margins were generally well-defined, although some were ill-defined. After reviewing our cases from the viewpoint of clinical course and radiographic patterns, we divided these lesions into two types. Type I is the osteolytic lesion excavated into the posteromedial aspect of the distal femur without cortical defect; and type II is the buldged out lesion of the femur with cortical irregularity into the surrounding soft tissues. Both types have distinctive clinical courses. Type I lesions were easy to make a definite diagnosis with plain radiographs alone, but in type II, it was sometimes very difficult to differentiate it from malignant tumors or chronic localized osteomyelitis. For this lesion, Gd-enhanced MRI was the most effective method for differential diagnosis. In this study, biopsy was not necessary to confirm the diagnosis. Clinical symptoms of type I were very minor or even absent. Many of them were accidentally found after minor trauma around the knee joint. Clinical symptoms disappeared far earlier than radiographical lesions. No treatment such as restriction of activity or drugs was necessary. For type II, the clinical symptoms were more accentuated and lasted longer, and it was necessary to restrict the activity for a certain period in many cases. However, all were self-limited.

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Arthroscopic Distal Clavicle Resection for Chronic Stage 2 Acromioclavicular Dislocation - Preliminary Report of 6 Cases Study - (관절경하 원위 쇄골 절제술을 이용한 만성 제 2형 견봉쇄골 손상의 치료 - 6례에 대한 예비 연구 -)

  • Yoo Yeun-Sik;Yoon Young-Gon;Nam Il-Hyun;Moon Gi-Hyuk
    • Journal of the Korean Arthroscopy Society
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    • v.6 no.2
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    • pp.171-176
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    • 2002
  • Purpose : To evaluate effectiveness of arthroscopic distal clavicle resection for chronic stage 2 acromioclavicular dislocation. Material: 6 patients who had failed to respond to physical therapy were evaluate more than 6 months prospectively, which were treated with arthroscopic distal clavicular resection from february 1998 to January 2001. Result : The median preoperative Constant score changed from 32 of 100 to 37 of 100 at 3 to 6 weeks, to 49 of 100 at 3 months and to 69 of 100 at 6months. Improvement was achived at mean follow up more than 6 months after surgery. Overal $83\%$ of patient were satisfied with this procedure. but the remained case was unsatisfied because symptom was not improved more than 6 months Conclusion : Arthroscopic distal clavicle resection is useful method to treatment for chronic stage 2 acromioclavicular dislocation.

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The Clinical and Radiological Analysis of Shunt-Dependent Hydrocephalus after Acute Hydrocephalus in Surgical Aneurysmal Patients (뇌동맥류 수술 환자에서 급성 수두증 병발후 단락술이 요하는 만성 수두증 합병의 임상적 및 형태학적 비교)

  • Shin, Yong Hwan;Hwang, Jeong Hyun;Hamm, In Suk;Sung, Joo Kyung;Hwang, Sung Kyoo;Park, Yeun Mook;Kim, Seung Lae
    • Journal of Korean Neurosurgical Society
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    • v.29 no.11
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    • pp.1476-1483
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    • 2000
  • Objectives : The incidence of acute hydrocephalus(AHC) after aneurysmal subarachnoid hemorrhage reported as 13-31%. The AHC resolves spontaneously in some cases(simple AHC), but about 30% of the AHC progresses to shunt-dependent hydrocephalus(SDHC). The aim of this study was to understand clinical predisposing factors causing SDHC with performing differential clinical analyses between 2 subgroups, the simple AHC and the progresed SDHC. Methods : The 250 surgically treated patients with aneurysmal SAH over last two years were evaluated. Forty four patients(17.6%) of them showed the AHC. Of theses 37 cases were retrospectively analyzed, excluding 7 patients who died within 2 weeks after hemorrhage attack. Of the 37 AHC cases, 21 patient(56.8%) were complicated with the simple AHC, and 16 cases(43.2%) were progressed SDHC. Results : The older age(p<0.05), poor clinical grade(p=0.03), larger amount of SAH in perimesencephalic cistern on CT scan(p=0.005) were significantly related to the SDHC. No significant difference was noted in aneurysm location, multiplicity, rebleeding, hypertension and Fisher grade between 2 subgroups. Conclusion : Of the total 37 AHC, the simple AHC was 56.8% and the progressed SDHC 43.2%. The older age, poor clinical grade, large amount of SAH in perimesencephalic cistern were significant predisposing factors causing the SDHC. The large amount of SAH in perimesencephalic cistern is the single most important predisposing factor developing the progressed SDHC.

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A Medical Integration Framework based on XML for efficient exchange and sharing of Electronic Health Record using HL7 (The LEX System : HL7을 사용하는 전자의무기록의 효율적인 교환과 공유를 위한 XML기반 통합의료환경의 구축)

  • Lee, Min-Kyung;Cheong, Jae-Heon;Chun, Jong-Hoon;Yoo, Soo-Young;Kim, Bo-Young;Choi, Jin-Wook
    • The KIPS Transactions:PartD
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    • v.9D no.5
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    • pp.769-778
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    • 2002
  • The LEX system is a XML-based framework for medical information consolidation. The Lex makes it possible for heterogeneous HISs(Hospital Information Systems) exchange and share HL7 messages by storing the messages into a single Central Clinical Database. In this paper, we propose a HL7 message server independently interoperable from existing HIS to generate HL7 messages, and design an XML database schema suitable for storing and manipulating such data. We also propose a new DTD for efficient transformation of HL7 messages to XML documents for storage saving as well as supporting patient-oriented information retrieval.

A Case of Diffuse Panbronchiolitis Developing in Childhood (소아에서 발생한 미만성 범세기관지염 1례)

  • You, Jung Hoon;Lee, Hyung Shin;Lee, Kyung Yil;Hong, Ja Hyun;Lee, Mi Hee;Lee, Byung Cheol
    • Clinical and Experimental Pediatrics
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    • v.48 no.1
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    • pp.97-100
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    • 2005
  • Diffuse panbronchiolitis(DPB) is a chronic inflammatory airway disease predominantly affecting respiratory bronchioles, with distinct clinicopathological profiles. It was first described in 1966 by Yamanaka et al. The etiology of DPB is not yet clear, and the natural history of the disease is respiratory failure leading to cor pulmonale and ultimately death. But the long-term use of low-dose macrolide has proven to be highly effective in treating patients with DPB. Usual age at diagnosis is over 40. A few cases of DPB have been reported in Korea since 1992 but there have been no reports in children. We experienced a case of DPB in a 12-year-old girl. Therefore, we report the case with a brief review of the related literature.