• 제목/요약/키워드: Adult health

검색결과 2,772건 처리시간 0.037초

우리나라에서의 천식 및 만성폐쇄성폐질환 치료제 처방 양상 (Drug Prescribing Patterns for the Treatment of Asthma and Chronic Obstructive Pulmonary Disease in Korea)

  • 장진경;김해숙;손현순;박찬미;김주상;정복현;지은희;조정환;신현택
    • 한국임상약학회지
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    • 제24권1호
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    • pp.26-32
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    • 2014
  • Purpose: The aim of this study was to investigate drug prescription patterns for the treatment of asthma and chronic obstructive pulmonary disease (COPD) patients in Korea. Methods: Ambulatory adult patients who were diagnosed and received treatment for the asthma (ICD-10 code J45) or COPD (ICD-10 code J44) from January 2009 to September 2011 in two independent secondary hospitals in Korea were enrolled in this study. Prescribed drug lists were generated based on the evidence-based guidelines and prescribed drug dosage forms were identified from the patient medical records and computerized drug prescription databases of the study centers. Results: Total numbers of asthma and COPD patient enrolled in this study were 2,432 and 2,615, respectively. Individual prescription-based accumulated numbers of patient were 12,021 for asthma and 16,584 for COPD. The most commonly prescribed three drugs were oral predisolone, oral formoterol and oral montelukast for asthma and oral formoterol, oral doxofylline and inhaled tiotropium for COPD. Frequencies of oral drugs were 83.4% and 63.3% while inhalers were 16.4% and 30.2%, for asthma and COPD, respectively. Conclusion: The oral treatment was prescribed more in asthma and COPD patients than inhalers. To enhance the compliance of evidence-based guidelines for these chronic airway diseases, more realistic and specific strategies to increase the use of inhalers recommended as primary treatment options for asthma and COPD would be required.

Comparison of Semen Characteristics, Frozen-Thawed Sperm Viability, Testosterone Concentration and Embryo Development between Yorkshire Boar A and B

  • Yi, Y.J.;Lee, S.H.;Park, C.S.
    • Asian-Australasian Journal of Animal Sciences
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    • 제17권5호
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    • pp.612-616
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    • 2004
  • This study was carried out to compare the semen characteristics, frozen-thawed sperm viability and testosterone concentration and in vitro fertilization (IVF) and development of in vitro matured pig oocytes between two Yorkshire boars. Semen and blood samples were collected once per week from October to November 2002 from two adult Yorkshire boars at 18 months of age with 170 kg body weight. Sperm were deep frozen in 5 ml maxi-straws with lactose-egg yolk and N-acetyl-D-glucosamine (LEN) diluent and stored in liquid nitrogen. Blood samples were obtained at 10 a.m. by inserting a 21 gauge, hypodermic needle attached to 10 ml syringe into surface veins in the ear. The concentration of testosterone was determined by Competitive Enzyme Immunoassay. Ovaries were collected from prepubertal gilts at a local slaughter house. Cumulus oocyte complexes were aspirated from antral follicles (3 to 6 mm in diameter). The medium used for oocyte maturation was modified TCM 199. After about 22 h of culture, oocytes were cultured without cysteamine and hormones for 22 h at $38.5^{\circ}C$, 5% $CO_2$ in air. For IVF, one frozen 5 ml straw was thawed at $52^{\circ}C$in 40 sec and was diluted with 20 ml Beltsville thawing solution at room temperature. Sperm were washed 2 times in mTLP-PVA and inseminated without preincubation after thawing. Oocytes were inseminated with $2{\times}10^7$/ml sperm concentration. Oocytes were coincubated for 6 h in 500 ${\mu}$l mTBM fertilization medium. At 6 h after IVF, oocytes were transferred into 500 ${\mu}$l NCSU-23 culture medium for further culture of 48 and 144 h. There were no significant differences in the semen volume, motility, normal acrosome morphology and sperm concentration of raw semen between A and B of Yorkshire boar. However, motility and normal acrosome of boar A were higher than those of boar B at 0.5, 2, 3, 4, 5 and 6 h incubations of frozen-thawed sperm. Testosterone concentration (3.75 ng/ml) of boar A was higher than that (2.34 ng/ml) of boar B. The rate of blastocyst formation (15.1%) of boar A was higher than that (10.4%) of boar B. In conclusion, serum testosterone concentration of boar showed very important role for the frozen-thawed sperm viability and the blastocyst formation of pig oocytes matured in vitro.

장기내(臟器內) Thiamine 과 Riboflavin 함량(含量) 변동(變動)에 대(對)한 연구(硏究) - 전아(餞餓), 고당질식(高糖質食), 고조백질식(高蚤白質食) 및 Vitamin E 첨가(添加) 유식(裕食)에 의(依)한 영향(影響)에 대(對)하여 - (A Study on the Change of Thiamine and Riboflavin Value in the Organs of Rats)

  • 이기동
    • Journal of Nutrition and Health
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    • 제1권2호
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    • pp.93-105
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    • 1968
  • The variations of both thiamine and riboflavin value in the organs, viz. liver, small intestine, spleen and kidney of the rats were measured for observing some metabolic changes in the animals during fasting and feeding different quality of diets without V-E supplement. The animal used for the experiment was adult female ablino rat from a pure strain, weighing 225-280g. The animals were divided into 6 groups; the control group, the high carbohydrate diet group, the high carbohydrate diet with V-E group, the high protein diet group, the high protein diet with V-E group, and fasting group. The result obtained are summarized as follows; 1. The thiamine contents in the liver were once increased during early stage of starvation compared with the control group, thereafter they were decreased on the 8 days fasting while the contents in the small intestine and spleen were decreased during 1 to 8 days fasting. 2. The riboflavin contents in the liver and kidney were increased during starvation and the content in the small intestine was no marked change compared with control group. 3. The thiamine contents in the liver and small intestine during feeding the high carbohydrate with V-E supplement diet group were lower than that of the diet without V-E group and the content in the spleen was increased by feeding V-E enriched high carbohydrate diet. 4. The thiamine contents in the liver, small intestine and spleen during feeding the V-E supplemented diets were lower than that of the non-supplemented one's. 5. The riboflavin contents in the liver, small intestine, and kidney were increased during feeding the high carbohydrate diet compared to the control group, and they were decreased during feeding the V-E enriched high carbohydrate diet. 6. The riboflavin contents in each organ were increased during feeding the high protein diet compared to the control group, and they were much increased during 20 to 30 days of feeding the V-E supplemented high protein diet. 7. Therefore, as the above results showed, the variation of thiamine value in the each organs were not markedly changed during feeding different quality of the diets. The thiamine and riboflavin contents in the each organ in the V-E enriched high carbohydrate diet group were lower than without V-E supplemented one's The riboflavin contents in each organ were increased during feeding the high protein diet compared with the control group and the centents were increased during 20 to 30 days of the feeding V-E enriched high protein diet.

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약용식물 메탄올 추출물의 항산화 및 항당뇨 활성 (Anti-Oxidative and Anti-Diabetic Effects of Methanol Extracts from Medicinal Plants)

  • 이연리;윤나라
    • 한국식품영양과학회지
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    • 제44권5호
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    • pp.681-686
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    • 2015
  • 약용식물 23종 메탄올 추출물의 폴리페놀 함량을 측정한 후 항산화 활성을 측정하고, 항당뇨 활성으로는 ${\alpha}$-amylase 저해 활성, ${\alpha}$-glucosidase 저해 활성을 검정하여 혈당강하 활성을 나타낼 수 있는 약용식물을 선발하고자 한다. 약용식물의 폴리페놀 함량을 분석한 결과 1.50~15.25 mg GAE/g의 다양한 함량 범위로 나타났으며 가장 높은 함량은 주목열매(15.25 mg GAE/g), 화살나무줄기(15.12 mg GAE/g), 두충잎(14.24 mg GAE/g)으로 3종이 나타났다. 60% 이상 DPPH 라디칼 소거능을 본 약용식물로는 두충 줄기수피(80.10%), 구기자나무 뿌리(64.25%), 화살나무 줄기(73.59%), 비수리(78.20%), 주목열매(70.52%), 뽕잎나무 잎줄기(67.81%) 부위 추출물로 6종이 선발되었다. ${\alpha}$-Glucosidase를 80% 이상 저해한 약용소재로는 두충 줄기심재, 두충 줄기수피, 화살나무 줄기, 마, 율무, 녹두 6종이 선발되었다. ${\alpha}$-Amylase를 80% 이상 저해한 약용식물로는 칡뿌리, 두충 줄기수피, 두충잎, 구기자 열매, 화살나무 잎줄기, 화살나무 줄기, 조릿대 지상부, 마, 뽕잎나무 잎줄기 추출물 등 9종이 선발되었다. 항산화 및 항당뇨 활성이 우수했던 약용식물들은 향후 새로운 의약품 개발 및 성인병 예방의 건강기능식품으로 개발하는 데 있어 좋은 기초자료로 활용될 것으로 기대된다.

중성자방사화분석에 의한 인체 6개 조직 내 기능성원소 함량 분포 조사 (Investigation of Dynamic Elemental Distribution in Six Human Tissues by Neutron Activation Analysis)

  • 강상훈;문종화;정용삼;조승연;이한영
    • 분석과학
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    • 제15권4호
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    • pp.365-372
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    • 2002
  • 본 연구에서는 한국 성인의 인체 조직인 늑골, 폐, 간, 근육, 신장 및 갑상선에 함유된 무기원소들의 함량을 조사하였다. 이 조직들은 48시간 이내의 사망자들로부터 IAEA 권고방식에 따라 채취하여 동결건조 시킨 후 분말상태로 만들었다. 중성자 방사화분석법을 이들 시료에 적용하여 5개 다량원소인 Ca, Mg, Na, K, Cl과 12개 미량원소인 Mn, I, Sr, As, Br, Co, Cr, Cs, Fe, Rb, Se, Zn의 함량을 분석하였다. 측정결과의 정확도 확인용으로 3가지 표준물질을 이용하였으며, 대부분의 원소에서 10% 이내의 상대오차를 나타냈고, 분석값의 수용기준인 Z값은 2이내였다. 다량원소들은 인체조직에 일정량 이상 고르게 분포하고 있었으며, 미량원소들은 조직별, 연령별 특정 농도를 나타내었다. 특히, 갑상선에서 I은 1000 ${\mu}g/g$ 이상 집중적으로 분포하였으며, Ca과 Sr은 늑골에서 각각 15.9%와 84.4 ${\mu}g/g$으로 나타났다.

소아 5세 표준촬영 가이드라인과 임상 촬영조건의 입사표면선량과 주요 장기흡수선량 비교 (Comparison of ESD and Major Organ Absorbed Doses of 5-Year-Old Standard Guidelines and Clinical Exposure Conditions)

  • 강아름;이인자;안성민
    • 대한방사선기술학회지:방사선기술과학
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    • 제40권3호
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    • pp.355-361
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    • 2017
  • 소아는 성인보다 장기의 방사선에 대한 감수성이 크고 성장 중이기 때문에 더 민감하다. 피폭으로 인한 부작용을 겪는 기대수명이 길기 때문에 피폭선량의 관리가 어른의 경우보다 중요하게 다뤄진다. 본 연구는 10세 팬텀을 사용하여 현재 우리나라에 권고되어 있는 5세 소아의 촬영기준과 입사표면선량의 적합성을 확인하고 추가적으로 제시된 촬영기준으로 장기흡수선량을 측정해보았다. 임상에서 사용 중인 5세와 10세의 촬영조건과 장기흡수선량, 입사표면선량을 비교하였다. 임상 5세 촬영조건이 권고촬영조건보다 약간 높으며 임상 10세 촬영조건은 많이 높게 나타났다. 또한 권고 촬영조건으로 ESD를 측정한 결과 임상 촬영조건의 ESD가 43% 높게 나타났으며 10세의 ESD는 5세의 권고 촬영조건의 ESD 보다 126% 증가를 나타냈다. 5세의 권고된 ESD와 임상 촬영조건에 의한 ESD를 비교한 결과 31.6%의 차이를 나타냈다. 5세의 권고 촬영조건과 임상 촬영조건에 의한 장기흡수선량은 큰 차이는 없으나 흉부와 골반검사에서는 차이가 컸다. 그러나 10세의 임상 촬영조건에 의한 장기흡수선량을 비교하면 월등한 차이가 있었음을 알 수 있었다. 따라서 소아의 권고 선량에 대한 더욱 세분화된 기준안이 연구되어야 할 것으로 사료된다.

Comparative Drug Evaluation of Atorvastatin versus Rosuvastatin in Pharmacotherapy of Korean Patients with Dyslipidemia

  • Park, Seon-Young;Lee, Myung-Koo;Lim, Sung-Cil
    • Biomolecules & Therapeutics
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    • 제16권1호
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    • pp.54-60
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    • 2008
  • Dyslipidemia is the multiple lipid metabolic disorders which is one of the high risk factors for the atherosclerotic diseases. It increases the morbidity and mortality and therefore, must be treated with antilipidemic agents. HMG-Co A reductase inhibitors (statins), one of many antidyslipidemic agents, have shown to be significant improvement from the various cholesterol levels. Especially, data from many comparative trials suggest that rosuvastatin is more effective than atorvastatin among many other statins. The aims of this study were to evaluate the efficacy and safety between rosuvastatin and atorvastatin in the treatment of Korean patients with dyslipidemia. Currently the Korean Society of Lipidology and Atherosclerosis based on the Korean health screening data suggests that Korean patients with dyslipidemia should be treated by the target cholesterol levels according to the Adult Treatment Panel III guidelines of the US National Cholesterol Education Program (NCEP-ATP III). We reviewed retrospectively all medical histories of the total 392 dyslipidemic patients with atorvastatin or rosuvastatin from June 1st, 2004 to August 31st, 2006 in Chungbuk National University Medical Center. Patients were classified as total 4 groups by the NCEP-ATP III Guidelines. The numbers of enrolled patients were each 5 mg atorvastatin (n=34), 10 mg atorvastatin (n=148), 5 mg rosuvastatin (n=94) and 10 mg rosuvastatin (n=82). In comparison between groups, rosuvastatin groups in the lowering LDL-C had better efficacies, and the results were each 22% (5 mg atorvastatin), 33.3% (10 mg atorvastatin), 35% (5 mg rosuvastatin) and 41.3% (10 mg rosuvastatin) with the dose relationship (P=0.000). Rosuvastatin groups also have shown to be more significantly reducing Total Cholesterol levels compared to atorvastatin groups with the no dose relationship (P=0.000). In the lowering of non-HDL cholesteroles, rosuvastatin groups showed significantly better efficacies than atorvastatin with the dose-relationship (P=0.000). Each medication groups did not demonstrate the differences in the changing of HDL cholesterol and triglyceride levels (P=0.096, 0.309, respectively). In conclusion, rosuvastatin was better efficacious than atrovastatin in reducing LDL-C Total Chol, and Tg. Therefore, rosuvastatin is a good antilipidemic agents for Korean patients with dyslipidemia and it can use to minimize the morbidity and mortality related to the cardiovascular diseases in Korean.

Human Infections with Spirometra decipiens Plerocercoids Identified by Morphologic and Genetic Analyses in Korea

  • Jeon, Hyeong-Kyu;Park, Hansol;Lee, Dongmin;Choe, Seongjun;Kim, Kyu-Heon;Huh, Sun;Sohn, Woon-Mok;Chai, Jong-Yil;Eom, Keeseon S.
    • Parasites, Hosts and Diseases
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    • 제53권3호
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    • pp.299-305
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    • 2015
  • Tapeworms of the genus Spirometra are pseudophyllidean cestodes endemic in Korea. At present, it is unclear which Spirometra species are responsible for causing human infections, and little information is available on the epidemiological profiles of Spirometra species infecting humans in Korea. Between 1979 and 2009, a total of 50 spargana from human patients and 2 adult specimens obtained from experimentally infected carnivorous animals were analyzed according to genetic and taxonomic criteria and classified as Spirometra erinaceieuropaei or Spirometra decipiens depending on the morphology. Morphologically, S. erinaceieuropaei and S. decipiens are different in that the spirally coiled uterus in S. erinaceieuropaei has 5-7 complete coils, while in S. decipiens it has only 4.5 coils. In addition, there is a 9.3% (146/1,566) sequence different between S. erinaceieuropaei and S. decipiens in the cox1 gene. Partial cox1 sequences (390 bp) from 35 Korean isolates showed 99.4% (388/390) similarity with the reference sequence of S. erinaceieuropaei from Korea (G1724; GenBank KJ599680) and an additional 15 Korean isolates revealed 99.2% (387/390) similarity with the reference sequences of S. decipiens from Korea (G1657; GenBank KJ599679). Based on morphologic and molecular databases, the estimated population ratio of S. erinaceieuropaei to S. decipiens was 35: 15. Our results indicate that both S. erinaceieuropaei and S. decipiens found in Korea infect humans, with S. erinaceieuropaei being 2 times more prevalent than S. decipiens. This study is the first to report human sparganosis caused by S. decipiens in humans in Korea.

폐쇄성 수면무호흡 증후군과 목둘레 및 체질량 지수와의 상관성 연구 (Correlation of Body Mass Index and Neck Circumference in Patients with Obstructive Sleep Apnea-Hypopnea Syndrome)

  • 김천식;김대식
    • 대한임상검사과학회지
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    • 제39권2호
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    • pp.141-146
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    • 2007
  • Obstructive Sleep Apnea-Hypopnea Syndrome (OSAHS) is a disorder characterized by the repetitive collapse of the pharyngeal airway during sleep, which leads to oxygen desaturation, sleep fragmentation, daytime sleepiness, and increased risk for hypertension and stroke. We investigated the clinical factors related to the severity of OSAHS. Polysomnography was performed in three hundred and ninety five consecutive adult patients with clinical symptoms of obstructive sleep apnea syndrome. All patients completed the sleep questionnaire and the Epworth Sleepiness Scale before polysomnography. Patients were classified into four groups based on the severity of their polysomnographic data: Non-OSA group, characterized by Apnea-Hypopnea Index (AHI) < 5; mild OSA group, by AHI 5-15; moderate OSA group, by AHI 16-30; and severe OSA group, by AHI > 30. Neck circumference was also measured at the cricothyroid level. A total of 395 patients (336 men and 59 women) were studied. In the non-OSA group, there were 55 patients; their mean neck circumference was $39.63{\pm}4.24cm$ and mean BMI was $24.48{\pm}3.53$. In the mild group, there were 101 patients; their mean neck circumference was $41.93{\pm}3.75cm$ and mean BMI was $25.33{\pm}2.94$. In the moderated group, there were 93 patients; their mean neck circumference was $43.27{\pm}3.50cm$ and BMI was $25.90{\pm}2.88$. In the severe group, there were 146 patients; their mean neck circumference was $44.94{\pm}3.93cm$ and mean BMI was $26.81{\pm}3.76$. Men had significantly larger neck circumference than women ($Mean{\pm}SD$, $43.72{\pm}3.83$ vs $39.17{\pm}4.30$, p < 0.001), and higher AHI than women ($29.12{\pm}22.65$ vs $14.63{\pm}14.11$, p < 0.001). Multiple regression analysis revealed that neck circumference was the most significant predictor of AHI. Neck circumference and BMI were positively correlated with the severity of OSAHS. The severity of OSAHS was greater in men than in women.

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저 출력 레이저 파장에 따른 화상 쥐 혈청 생화학 성분 변화에 대한 연구 (The Studies of the low power Wavelengths of He-Ne IR laser on the changes of the serum biochemical components in burn rats)

  • 노민희;김은영;용준환
    • 대한물리치료과학회지
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    • 제9권1호
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    • pp.17-24
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    • 2002
  • 저 에너지 레이저의 효과를 알아보기 위하여 흰쥐에 3도 화상을 유발시켜 He-Ne IR 레이저 파장을 각각 다른 3 분류 파장을 이용하여 1일 5분씩 7일 동안 조사하여 파장에 따른 혈액화학성분의 활성 변화를 비교 분석하여 얻은 결과는 다음과 같다. 1. AST, ALT, LDH 및 UA의 활성은 대조군에 비해 전체 실험군들에서 유의하게 증가되었으며 CHOL 과 ALP 는 유의하게 감소되었다. 2. ALT 와 ALP는 화상대조군에 비해 전실험군들에서 유의하게 감소되었으나 292Hz 와 4672Hz 치료군들에서는 유의하게 감소되었다. 그러나 UA는 292 Hz 와 1168Hz 치료군들에서는 유의하게 증가되었다. 3. AST, LDH의 활성은 파장 292 Hz 와 4672Hz 치료군들에 비해 1168Hz 치료군에서는 유의하게 감소되었으며, ALP 활성은 4672Hz 치료군에 비해 1168Hz 치료 군에서 유의하게 증가되었다. CHOL 과 LDH의 활성 은 파장 292 Hz 치료군에 비해 1168Hz 와 4672Hz 치료 군들에서 유의하게 감소되었다.

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