• Title/Summary/Keyword: Abdominal-B

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A Method to Obtain the CT Attenuation Coefficient and Image Noise of Various Convolution Kernels in the Computed Tomography (Convolution Kernel의 종류에 따른 CT 감약계수 및 노이즈 측정에 관한 연구)

  • Kweon, Dae-Cheol;Yoo, Beong-Gyu;Lee, Jong-Seok;Jang, Keun-Jo
    • Korean Journal of Digital Imaging in Medicine
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    • v.9 no.1
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    • pp.21-30
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    • 2007
  • Our objective was to evaluate the CT attenuation coefficient and noise of spatial domain filtering as an alternative to additional image reconstruction using different kernels in abdominal CT. Derived from thin collimated source images was generated using abdomen B10 (very smooth), B20 (smooth), B30 (medium smooth), B40 (medium), B50 (medium sharp), B60 (sharp), B70 (very sharp) and B80 (ultra sharp) kernels. Quantitative CT coefficient and noise measurements provided comparable HU (hounsfield) units in this respect. CT attenuation coefficient (mean HU) values in the abdominal were 60.4$\sim$62.2 HU and noise (7.6$\sim$63.8 HU) in the liver parenchyma. In the stomach a mean (CT attenuation coefficient) of -2.2$\sim$0.8 HU and noise (10.1$\sim$82.4 HU) was measured. Image reconstructed with a convolution kernel led to an increase in noise, whereas the results for CT attenuation coefficient were comparable. Image medications of image sharpness and noise eliminate the need for reconstruction using different kernels in the future. CT images increase the diagnostic accuracy may be controlled by adjusting CT various kernels, which should be adjusted to take into account the kernels of the CT undergoing the examination.

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Cirrhosis after Liver Lobectomy Managed with Traditional Korean Medical Treatment: A Case Report (간세포암의 부분 간절제술 후 한방치료로 복수를 동반한 간경변 증상이 호전된 환자 증례보고)

  • Kim, Hyo-rin;Jeong, Hye-ryon;Jang, Chul-yong;Woo, Chan;Ha, Ye-jin;Moon, Goo;Baek, Dong-gi
    • The Journal of Internal Korean Medicine
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    • v.36 no.3
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    • pp.410-418
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    • 2015
  • Objectives The purpose of this study is to report the possibility of treatment of liver cirrhosis with traditional Korean medical treatment. Methods A 57-year-old man diagnosed with hepatocellular carcinoma and liver cirrhosis was admitted to Wonkwang University Oriental Medical Hospital in August 2014. He underwent liver lobectomy and later experienced abdominal pain, anorexia, and insomnia. To control cirrhotic ascites and prevent relapses, he opted to receive HangAmDan-B (HAD-B) and cultivated wild ginseng herbal acupuncture therapy. Results After treatment, the volume of ascites decreased and the patient&’s symptoms such as abdominal pain and anorexia improved. Conclusions This report suggests that HAD-B and cultivated wild ginseng herbal acupuncture therapy may play a therapeutic role in liver cirrhosis occurring after liver lobectomy.

The impact of caudally administrated tramadol on immune response and analgesic efficacy for pediatric patients: a comparative randomized clinical trial

  • Sayed, Jehan Ahmed;Elshafy, Sayed Kaoud Abd;Kamel, Emad Zareif;Riad, Mohamed Amir Fathy;Mahmoud, Amal Ahmed;Khalaf, Ghada Shalaby
    • The Korean Journal of Pain
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    • v.31 no.3
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    • pp.206-214
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    • 2018
  • Background: Immune responses appear to be affected by anesthetics and analgesics. We investigated the effects of caudal tramadol on the postoperative immune response and pain management in pediatric patients. Methods: Sixty ASA-I pediatric patients aged 3-10 years undergoing lower abdominal surgery. Patients were randomly assigned either to a caudal bupivacaine (0.25%) group (group B), or a group that received caudal tramadol (1 mg/kg) added to the bupivacaine (0.25%) (group T). Both were diluted in a 0.9% NaCl solution to a total volume of 1ml/ kg. The systemic immune response was measured by collecting blood samples preoperatively, at the end of anesthesia, and at 24 and 72 hours postoperatively, and studied for interleukin IL-6, C-reactive proteins (CRP) cortisol levels, and leucocytes with its differential count. Postoperative pain was assessed along with sedation scales. Results: Postoperative production of IL-6 was significantly higher in group B at the end of anesthesia, than at the $24^{th}$ hour, and at the $72^{nd}$ hour in group B and group T, respectively. The immune response showed leukocytosis with increased percentages of neutrophil and monocytes, and a decreased lymphocyte response rate within both groups with no significant differences between the groups. Cortisol and CRP were significantly higher in group B. Conclusions: Adding tramadol to a caudal bupivacaine block can attenuate the pro-inflammatory cytokine response, Cortisol, and CRP in children undergoing lower abdominal surgery.

A Rare Tropical Stonefly Brahmana flavomarginata (Plecoptera: Perlidae: Acroneuriinae) from Vietnam

  • Cao, Thi Kim Thu;Bae, Yeon Jae
    • Animal Systematics, Evolution and Diversity
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    • v.29 no.2
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    • pp.179-183
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    • 2013
  • The perlid stonefly Brahmana flavomarginata Wu, originally described from China from the male adult, is described using reared male and female adults and nymphs from Vietnam. The male adult of B. flavomarginata is distinguished from its congeners by the blackish-brown body color and distinct head marking, hemitergal triangular chitin plates, and a median semicircular smooth subgenital plate (hammer) on the abdominal sternum IX. The female adult has a large and round subgenital plate which extends to the posterior margin of the abdominal sternum X. The nymph can be distinguished by the relatively small compound eyes and the body covered by many long stout setae and short golden brown hair-like setae. This species is known in southwestern China (Yunnan Province) and northern Vietnam (Lao Cai Province, Cao Bang Province).

Effect of Support Surface on Abdominal Muscle Thickness during Side Plank Exercise (사이드 플랭크 운동 시 지지면이 배근육 두께에 미치는 효과)

  • Oh, Sang-Kyu;Kim, Chang-Wook
    • Journal of The Korean Society of Integrative Medicine
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    • v.9 no.4
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    • pp.183-190
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    • 2021
  • Purpose : The purpose of this study was to investigate the effect of side planks on the muscle thickness of the core muscles, external oblique, internal oblique, and transverse abdominis, and this study was conducted to compare whether side plank exercise according to the application of various unstable support surfaces increases the thickness by activating the action of the muscles. Methods : The subjects of this study were 30 healthy adults and were randomly and equally assigned to three groups by a random number table. All subjects were divided into three groups according to the application of an unstable support surface during the side plank(Group A = stable support, Group B = one unstable support, Group C = two unstable supports). The side plank exercise was performed 30 minutes a day, 3 times a week for a total of 4 weeks. The muscle thickness of the core muscle was measured before the intervention, 2 weeks, 4 weeks, and 3 times in total. All measured data were comparatively analyzed by repeated measures ANOVA and one-way ANOVA. The statistical significance level was set to .05. Results : The results of this study were as follows : 1. All muscles showed an interaction between training period and group. 2. There was a significant difference between the groups at the 2 weeks and 4 weeks of the internal oblique and transverse abdominis muscle measurements. Conclusion : The thickness of the abdominal muscle increased during the side plank exercise according to the support surface, and the thickness of the abdominal muscle increased the most during the side plank exercise on the unstable support surface. Therefore, it is thought that the addition of an unstable support surface will provide a more effective therapeutic effect on the thickness change of the abdominal muscle during side plank exercise.

Comparison of Pain Management Strategies to Reduce Opioid Use Postoperatively in Free Flap Breast Reconstruction: Pain Catheter versus Nerve Block in Addition to Refinements in the Oral Pain Management Regime

  • Andrea B. Stefansdottir;Luis Vieira;Arni Johnsen;Daniel Isacson;Andres Rodriguez;Maria Mani
    • Archives of Plastic Surgery
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    • v.51 no.2
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    • pp.156-162
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    • 2024
  • Background Perioperative management in autologous breast reconstruction has gained focus in recent years. This study compares two pain management protocols in patients undergoing abdominal-based free flap breast reconstruction: a past protocol (PP) and a current protocol (CP)-both intended to reduce opioid consumption postoperatively. The PP entails use of a pain catheter in the abdominal wound and the CP consists of an intraoperative nerve block in addition to refinements in the oral pain management. We hypothesize that the CP reduces opioid consumption compared to PP. Methods From December 2017 to January 2020, 102 patients underwent breast reconstruction with an abdominal-based free flap. Two postoperative pain management strategies were used during the period; from December 2017 to September 2018, the PP was used which entailed the use of a pain catheter with ropivacaine applied in the abdominal wound with continuous distribution postoperatively in addition to paracetamol orally and oxycodone orally pro re nata (PRN). From October 2018 to January 2020, the CP was used. This protocol included a combination of intraoperative subfascial nerve block and a postoperative oral pain management regime that consisted of paracetamol, celecoxib, and gabapentin as well as oxycodone PRN. Results The CP group (n = 63) had lower opioid consumption compared to the PP group (n = 39) when examining all aspects of opioid consumption, including daily opioid usage in morphine milligram equivalents and total opioid usage during the stay (p < 0.001). The CP group had shorter length of hospital stay (LOS). Conclusion Introduction of the CP reduced opioid use and LOS was shorter.

Pharmacological Study of Components of L. pseudo-laeve Nakai. (Lycoctonum 속식물성분의 약리학적연구 I)

  • 김재완
    • YAKHAK HOEJI
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    • v.7 no.4
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    • pp.86-91
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    • 1963
  • Crystal A and B were isolated from L. pseudo-leave Nakai and their pharmacological action was observed. Crystal A, in dose of 5 * $10^{-4}$ - 5 * $10^{-5}g/ml$, stimulated excised frog heat but at 2.5 * $10^{-6}$ - 0.5 * $10^{-5}g/ml$ of crystal B, depressant effect was observed. Mild stimulation of rhythmicity of exercised rabbit intestine was produced by 1 * $10^{-4}$ g/ml of crystal A and 2 * $10^{-4}g/ml$ of crystal B. Marked depression of tone was produced by 2 * $10^{-4}g/ml$ of crystal A, antagonizing by pilocarpine. Crystal B(4 * $10^{-4}gm/l)produced$ mild stimulation, followed by depression of tone. No curare-like action on excised frog abdominal muscle was elicited with both substances.

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Evaluation of nutrient and food intake status, and dietary quality according to abdominal obesity based on waist circumference in Korean adults: Based on 2010-2012 Korean National Health and Nutrition Examination Survey (한국인 성인 남녀에서 허리 둘레 기준 복부비만에 따른 영양섭취상태 평가: 2010-2012 국민건강영양조사 자료를 이용하여)

  • Kim, Myeong Seong;Kweon, Dae Cheol;Bae, Yun Jung
    • Journal of Nutrition and Health
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    • v.47 no.6
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    • pp.403-415
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    • 2014
  • Purpose: This study was conducted in order to investigate the nutrient and food intake status, and dietary quality in Korean adults according to abdominal obesity based on waist circumference. Methods: We analyzed data from the combined 2010~2012 KNHANES (Korean National Health and Nutrition Examination Survey). The analysis included 6,974 adults aged 40 to 64 years. In this study, according to abdominal obesity based on waist circumference (male ${\geq}$ 90 cm, female ${\geq}$ 85 cm), we classified the subjects into the obesity group (male, n = 775, female, n = 1,113) and control group (male, n = 2,038, female, n = 3,048). The nutrient and food group intake, ND (nutrient density), NAR (nutrient adequacy ratio), MAR (mean adequacy ratio), INQ (index of nutritional quality), DDS (dietary diversity score), and DVS (dietary variety score) were analyzed using data from the 24-recall method. Results: For male, no significant difference in quality index of the diet was observed between the obesity group and the normal group. In female, in diet quality (ND, NAR, and INQ), vitamin $B_2$ (ND, NAR, and INQ) calcium (NAR), phosphorous (ND, INQ) and potassium (ND) of the obesity group was significantly lower than those of the control group. DDS and DVS in the obesity group (3.57, 30.95) were significantly lower than those of the control group (3.68, 32.84) (p = 0.0043, 0.0002). DVS (DVS ${\geq}$ 39.9) showed association with lower risk of waist obesity in a logistic regression model after adjustments for multiple confounding factors including age, education, income, alcohol intake frequency, smoking, physical activity, energy intake, and body mass index (OR: 0.616, 95% CI: 0.420-0.903). Conclusion: In conclusion, females with abdominal obesity had lower micronutrient intake quality, DVS than those of the control group. In Korean females, food intake variety can adversely affect waist circumference.

Analgesic Effects of Gyejibokryeong-hwan Aqueous Extracts on the Rat Model of Primary Dysmenorrhea (원발성 월경통에 대한 계지복령환(桂枝茯苓丸) 열수 추출물의 진통 효과)

  • Cho, Su-Yun;Kim, Dong-Chul
    • The Journal of Korean Obstetrics and Gynecology
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    • v.33 no.3
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    • pp.95-118
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    • 2020
  • Objectives: The objective of this in vivo study is to observe the analgesic effects or improvements of Gyejibokryeong-hwan aqueous extracts (GJBRHe) on the Primary dysmenorrhea (PD) in rats as compared to those of Indomethacin (IND). Methods: The rats were administered with estradiol benzoate for 10 days and oxytocin 1 hour after the last 10th administration of estradiol benzoate to make the primary dysmenorrhea rat model. Gyejibokryeong-hwan aqueous extracts 500, 250 and 125 mg/kg were orally administrated, for 10 days once a day. Then the changes on the body weights and gains during experimental periods, uterine weights and gross inspections, abdominal writhing response for analgesic activities, uterus lipid peroxidation (malondialdehyde (MDA) levels), antioxidant defense system - glutathione (GSH) contents, activities of superoxide dismutase (SOD) and catalase (CAT), Nuclear factor-κB (NF-κB) and Cyclooxygenase (COX)-2 mRNA expressions, were monitored with uterus histopathology and immunohistochemistry for tumor necrosis factor (TNF)-α and inducible nitric oxide synthase (iNOS). The results of Gyejibokryeong-hwan aqueous extracts were compared to those of Indomethacin adminstered rats. Results: As results of estradiol benzoate and oxytocin treatment, noticeable decreases of body weights and gains, uterus GSH contents, SOD and CAT activities, increases of abdominal writhing responses, uterus lipid peroxidation (MDA level), uterus weights, NF-κB and COX-2 mRNA expressions were observed with increases of TNF-α and iNOS immunolabeled cells, inflammatory cell infiltrations, congestion and enlargement of the uterus at gross and histopathological inspections. These means classic inflammatory and oxidative stress mediated primary dysmenorrhea are relatively well induced. However, these signs were favorably and dose-dependently inhibited by administration of three different dosages of Gyejibokryeong-hwan aqueous extracts, but lesser than those of Indomethacin. Conclusions: The results obtained in this study suggest that Gyejibokryeong-hwan aqueous extracts has favorable analgesic and refinement activities dose-dependently on the estradiol benzoate and oxytocin treatment-induced primary dysmenorrhea signs.

Larval Development of Chthamalus challengeri Hoek (Cirripedia: Thoracica: Chthamalidae) with Keys to Barnacle Larvae of Korean Coastal Waters

  • Chu Lee
    • Animal cells and systems
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    • v.3 no.1
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    • pp.59-68
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    • 1999
  • Chthamalus challengeri Hoek was collected from intertidal rocks to rear the larvae from hatching through nauplius to cyprid in the laboratory. Larval development consists of six nauplius stages and a cyprid. Unilobed labrum with a prominent protuberance and the frontolateral horns folded under the anterior cephalic shield margin are diagnostic features through all nauplius stages. The posterior border of the cephalic shield bears no posterior shield spines in nauplius stages IV-Ⅵ. There is a specific hispid seta in the fourth group of the antennal endopodite. Morphological features such as the cephalic shield, labrum, abdominal process, antennules, antennae and mandibles in all nauplius and cyprid stages are illustrated and described. The numerical setations of the antennule are found to aid in the intraspecific identification of barnacle nauplius stages without dissection. The keys to each stage of the barnacle larvae in Korean coastal waters are provided based on the reared nauplii of seven species: Pollicipes mitella Octomeris sulcata, Chthamalus challengeri, Balanus albicostatus B. trigonus, B. amphitrite, and B. improvisus inhabiting Korean coastal waters.

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