• Title/Summary/Keyword: Chronic disease patients

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Effects of Sagan-tang and individual herbs on COPD Mice Model (만성폐쇄성폐질환 동물모델에 대한 射干湯 및 구성약물의 효과)

  • Han, Jong-Min;Yang, Won-Kyung;Kim, Seung-Hyeong;Park, Yang-Chun
    • Herbal Formula Science
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    • v.23 no.2
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    • pp.171-187
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    • 2015
  • Objective This study aimed to evaluate the effects of Sagan-tang (SGT) on COPD mouse model. Methods The study was carried out by two ways (in vitro, in vivo). In vitro RAW264.7 cells (mouse macrophage) were used and analysed by flow cytometry, ELISA, Western blot. In vivo LPS and CSS challenged mice were used and its BALF had been analysed by cytospin image, FACS, ELISA, lung tissue by real-time PCR. Results In vitro, SGT maintained 80-100% rate of viablilty on 10 ~ 500 ㎍/㎖ concentration. In ELISA analysis with RAW264.7 cells, SGT significantly decreased NO over 30 ㎍/㎖. In flow cytometry, SGT 100 ㎍/㎖ dosage group displayed a tendency for decrease ROS. In Western blot analysis, SGT 100 ㎍/㎖ dosage group decreased NF-κB. In ELISA analysis, SGT significantly decreased TNF-α, IL-6 over 200 ㎍/㎖. In vivo SGT 200 ㎎/㎏ dosage group, application of SGT significantly decreased increase of neutrophils, TNF-α, IL-6 in BALF, muc5AC, TGF-β, TNF-α, expression of mRNA in lung tissue and histological lung injury. Conclusion This Study suggests usability of SGT for COPD patients by controlling lung tissue injury.

Design and Implementation of U-Health System for Active Oxygen Measurement Data based on Mobile Phone (활성산소 측정 데이터를 위한 모바일 기반의 U헬스 시스템 설계 및 구현)

  • Lee, Chang Moo;Oh, Seung Kyo;Choi, Deok Jai
    • Smart Media Journal
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    • v.1 no.4
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    • pp.52-58
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    • 2012
  • In recent years the combination of IT and BT for U-Healthcare Medical Services has attracted popular attention as an alternative for solving health problems due to aging issue. Active oxygen as free radicals causes unstable state of the body resulting to other disease on which approximate 90% of the diseases are associated with active oxygen. The severity is even higher along with increasing age. Therefore, there is a need for systematic management of active oxygen saturation for the elderly and chronic patients. In this paper, the data about active oxygen measurements from the body measurement is sent to the data storage of medical facilities by the service provider. Medical information is measured by devices provided complying with the standard, support and information using Bluetooth communication. Users can check their health status themselves using the proposed system through 3G/4G mobile devices like smart phone to medical institutions in which the smart phone act as a gateway for medical data transferred from patient to medical institutions and vice versa. Users can get and experience a diagnosis and effective U-Environmental Health Services from Medical institutions anywhere using the proposed built system.

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Effects of Antioxidant on the Hypoxia-induced Expression of ICAM-1 in Cultured Human Synovial Fibroblasts (저산소증에 의한 활막 섬유모세포의 ICAM-1 발현에 대한 항산화제의 영향)

  • Kim, Jung Ryul;Yoo, Wan Hee
    • IMMUNE NETWORK
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    • v.2 no.1
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    • pp.25-34
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    • 2002
  • Background: Rheumatoid arthritis (RA) is a chronic inflammatory disease characterized by synovial hyperplasia and joint destruction. The synovial fibroblasts express cell adhesion molecules and have a role in adhesive interation with inflammatory cells in synovial tissue. It has been suggested that hypoxic conditioins are thought to exist in arthritic joints, and several studies indicate that reactive oxygen species (ROS) produced in hypoxic condition can initiate events that lead to pro-adhesive changes via increased expression of adhesion molecules. So, this study wsa designed to examine whether antioxidant can inhibit hypoxia-induced expression of ICAM-1 in cultured human synovial fibroblasts. Methods: Synovial fibroblasts were isolated from synovial tissue in patients with RA and cultured at hypoxic condition. Antioxidant, PDTC (pyrrolidine dithiocarbamate) were pre-treated for an hour before the hypoxic culture and synovial fibroblasts were harvested at 0, 6, 12, 24, 48 hours time points. Cell surface ICAM-1 expression in synovial fibroblasts was examined by the flow cytometric analysis. To analyse the expression of ICAM-1 mRNA, reverse-transcriptase polymerase chain reaction (RT-PCR) was performed. The levels of cytokines in culture supernatants were measured by ELISA, and activation of NF-${\kappa}B$ was analysed by electrophoretic mobility shift assay. The adhesive reaction between synovial fibroblasts and lymphocytes was assayed by measurement of fluorescent intensity of BCECF-AM in lymphocytes. Results: Hypoxic stimuli up-regulated the ICAM-1 expression as well as the adhesive interaction of human synvial fibroblasts to lymphocytes in a time-dependent manner, and PDTC inhibited hpyoxia-induced ICAM-1 expression and cell-cell interaction. PDTC also inhibited the hypoxia-induced activation of intracellular transcription factor, NF-${\kappa}B$. PDTC decreased the amount of hypoxia-induced production of IL-$1{\beta}$ and TNF-${\alpha}$. Conclusion: These studies demonstrate that PDTC inhibit the hypoxia-induced expression of the adhesion molecule, ICAM-1 and activation of NF-${\kappa}B$ in cultured human synovial fibroblasts.

A STUDY OF THE CHANGES OF THE TOOTH MOBILITY AND MAXIMAL BITE FORCE FOLLOWING INITIAL THERAPY (초기치료 시행 후 치아동요도와 교합력의 변화에 관한 연구)

  • Jeong, Hyo-Sun;Lee, Man-Sup
    • Journal of Periodontal and Implant Science
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    • v.23 no.3
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    • pp.526-534
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    • 1993
  • The purpose of this study was to evaluate the changes of the tooth mobility and maximal bite force over 4 weeks following initial therapy on the periodontal disease. Tooth mobility and maximal bite force due to change of viscoelastic property of periodontium were influenced by inflammation of periodontal tissue. 10 patients with the chronic adult periodontitis participated in this study. Each tooth was divided into anterior areas, premolar areas and molar areas. Tooth mobility was tested using Periotest(Siemens Co. Germany) and maximal bite force was evaluated with MPM-3000(Nihon kohden Co. Japan). Tooth mobility and maximal bite force were recorded at the initial examination, 1, 2, 3 and 4 weeks following initial therapy. All data were analyzed statistically. The obtained results were as follows ; 1. The changes of the tooth mobility following initial therapy were generally decreased in maxilla, showing the significant decrease at 1 and 4 weeks on premolar areas (p<0. 05). 2. The changes of the tooth mobility following initial therapy were generally decreased in mandible, however this changes were not statistically significant. 3. The changes of the maximal bite force following initial therapy in maxilla were significantly increased at 3 and 4 weeks on anterior areas, at 4 weeks on premolar areas (p<0. 05). These were decreased at 1 week on molar areas, but generally increasing with time. 4. The changes of the maximal bite force following initial therapy in mandible were significantly increased at 3 and 4 weeks on anterior areas (p<0. 05, p<0. 01). These were decreased at 1 week on premolar but molar areas, and generally increasing with time. 5. As tooth mobility increased, maximal bite force decreased with significance (p<0. 01), and they had high negative correlation on anterior areas but low negative correlation on premolar and molar areas.

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Serious Complications after Self-expandable Metallic Stent Insertion in a Patient with Malignant Lymphoma

  • Cho, Sung Bae;Cha, Seon Ah;Choi, Joon Young;Lee, Jong Min;Kang, Hyeon Hui;Moon, Hwa Sik;Kim, Sei Won;Yeo, Chang Dong;Lee, Sang Haak
    • Tuberculosis and Respiratory Diseases
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    • v.78 no.1
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    • pp.31-35
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    • 2015
  • An 18-year-old woman was evaluated for a chronic productive cough and dyspnea. She was subsequently diagnosed with mediastinal non-Hodgkin lymphoma (NHL). A covered self-expandable metallic stent (SEMS) was implanted to relieve narrowing in for both main bronchi. The NHL went into complete remission after six chemotherapy cycles, but atelectasis developed in the left lower lobe 18 months after SEMS insertion. The left main bronchus was completely occluded by granulation tissue. However, the right main bronchus and intermedius bronchus were patent. Granulation tissue was observed adjacent to the SEMS. The granulation tissue and the SEMS were excised, and a silicone stent was successfully implanted using a rigid bronchoscope. SEMS is advantageous owing to its easy implantation, but there are considerable potential complications such as severe reactive granulation, stent rupture, and ventilation failure in serious cases. Therefore, SEMS should be avoided whenever possible in patients with benign airway disease. This case highlights that SEMS implantation should be avoided even in malignant airway obstruction cases if the underlying malignancy is curable.

Clinical and Microbiological Study about Efficacy of Air-polishing and Scaling and Root-planing

  • Yang, Keon-Il;Park, Do-Young;Kim, Byung-Ock;Yu, Sang-Joun
    • International Journal of Oral Biology
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    • v.40 no.2
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    • pp.93-101
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    • 2015
  • The efficacy of air-polishing on subgingival debridement, as compared to scaling and root planning (SRP), was evaluated clinically and microbiologically. Fifteen patients diagnosed as chronic periodontitis, and having single-root tooth over 5 mm of pocket depth symmetrically in the left and right quadrant, were investigated. Subgingival debridement was performed by SRP and air-polishing. The results were evaluated and compared clinically and microbiologically. Probing pocket depth (PPD), bleeding on probing (BOP), relative attachment level (RAL) and change of gingival crevicular fluid (GCF) were assessed before treatment, and at 14 and 60 days after treatment. Microbial analysis was done pre-treatment, post-treatment, and at 14 and 60 days after treatment. Results of air polishing showed that post treatment, the PPD and BOP decreased, and attachment gain was observed. There was no clinical difference when compared to SRP. The volume of GCF decreased at 14 days, and increased again at 60 days. Compared to SRP, there was a statistical significance of the volume of GCF at 60 days in air-polishing. In the microbial analysis, high-risk bacteria that cause periodontal disease were remarkably reduced. They decreased immediately after treatment, but increased again with the passage of time. Thus, our results show that subgingival debridement by air-polishing was effective for decrease of pocket depth, attachment gain, decrease of GCF and inhibition of pathogens. Further studies are required to compare air-polishing and SRP, considering factors such as degree of pocket depth and calculus existence.

Compare Study of Nursing Research in Korea and Other Country on Pain in Children (아동 통증간호에 관한 국내외 연구 비교)

  • Yoon, Hea-Bong
    • Child Health Nursing Research
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    • v.8 no.2
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    • pp.229-243
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    • 2002
  • This study aimed at compare analyzing the trend of research in Korea and Other Country on Pain in Children, suggesting direction future pain research, and contributing to the use of pain intervention in nursing practice. Research studies on pain in children were selected from Korean Nures' Academic Society Journal, Korean Pediatric Nursing Academic Society Journal, dissertations, and contected using the MEDLINE between 1980 to April, 2002. The number of the 16 studies in Korea with 36 studies in other country. So, The number of the total studies were 52. There studies were analyzed for 1) the present condition of research studies 2) Research subject 3) Types of condition (Situation) in pain 4) Measurement Tools 5) Types of nursing interventions and 6) Research design. The findings of the analysis can be summerized as follows : 1) The number of the studies insufficient in Korea(16 studies) compare to other country (36 studies). 2) Research subjetcs were mostly patients and preschool, schoolage children(12 studies, 26 studies). 3) Types of condition(situation) in pain were First, related to injection(IM, IV, Blood Sampling)(6 studies, 14 studies) second, related to operation (4 studies, 11 studies) third, related to heelstick in neonates (3 studies, 6 studies). 4) As measurement tools for pain were mostly FPRS(facial pain rating scale) used to studies (9 studies, 11 studies), and more than two tools used. Mostly used to heart rate at studies. 5) Types of nursing intervention, Teaching and information were most popular intervention for pain in Korea(4 studies), and distraction was most popular intervention for pain in the other country(14 studies). 6) Research design, The experimental research were most popular studies in Korea and the other country. The following suggestions made based on the above findings : Need to researches about pain of children's chronic disease.

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Development of Transdermal Delivery Systems Containing Clenbuterol (클렌부테롤 경피흡수제제의 개발)

  • Choi, Han-Gon;Quan, Qi-Zhe;Jung, Si-Young;Rhee, Jong-Dal;Yong, Chul-Soon
    • Journal of Pharmaceutical Investigation
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    • v.30 no.4
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    • pp.247-252
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    • 2000
  • The advantages of transdermal administration are avoiding hepatic first pass effect, minimizing inter- and intra-patient variation, maintaining steady-state plasma level to provide long-term therapy from a single dose, and allowing a rapid termination of drug input. Clenbuterol, a selective ${\beta}_2-adrenergic$ receptor stimulant, has been introduced as a potent bronchodilator for patients with bronchial asthma, chronic obstructive bronchial disease. For the development of transdermal systems containing clenbuterol, two limiting factors - long lag time and low flux - must be overcome. In this study, we attempted to select optimal formulation for preparation of clenbuterol patch using hairless mouse skin and flow-through diffusion cell. The flux of clenbuterol increased as the percent of clenbuterol dose dependently in the concentration range of 5-15%. Based on this result, we fixed the concentration of clenbuterol as 15%. The effect of various penetration enhancers on percutaneous absorption of clenbuterol through hairless mouse skin was investigated. Labrafil was the most effective enhancer, which increased the permeability of clenbuterol approximately 4-fold compared with the control without penetration enhancer. Optimal enhancer concentration was 3%. The effect of various adhesives on penetration of clenbuterol was also investigated. Among the adhesives studied, MA-31 was the most effective adhesive. Furthermore, the clenbuterol patch composed of 15% clenbuterol, 3% Labrafil and 82% MA-31, which gave most excellent penetration of drug in in vitro penetration study, maintained therapeutic plasma levels in in vivo study using S.D. rats. These studies demonstrated a good feasibility of clenbuterol administration through the intact skin using a transdermal patch, and show a possibility of the development of clenbuterol patches.

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A Comparative Study on Healthcare Autonomous Vehicle Technologies between South Korea and the US Based on Social N etwork Analysis (헬스케어 관련 자율주행 자동차 기술 한미 비교 연구 : 사회연결망 분석을 중심으로)

  • Kim, Ho-Kyung
    • Journal of Korea Technology Innovation Society
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    • v.20 no.4
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    • pp.1036-1056
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    • 2017
  • The rapid increase of ageing population and chronic disease patients cause high medical expenses, and it led an increased attention to digital healthcare. Smart car technologies for healthcare have been developing to recognize drivers' status and predict diverse driving environments. The present study aimed to understand the research trends of autonomous vehicle technologies of Korea and the United States through time series analysis, network analysis, visualization, and comparison between the two countries. The results suggest that cooperative study needs to be done in common research areas such as driver's safety and algorithms. It is also needed to conduct studies and benchmark about liking technique related to part-to-part and vehicle-to-vehicle as America's competitive advantaged area. In the US, diverse approaches of autonomous vehicle technologies have used to consider the characteristics of various age groups and passengers' health status through sensor, while in Korea, only one aspect, older drivers, is mentioned. Implications for the development direction of autonomous vehicle technologies with competitiveness in considering public health, ethics, and driver's safety and convenience are discussed in detail.

A Study on the Effects of Position Change on the Liver Shape on Radioisotope Scan (간(肝)스캔상(上) 체위변동(體位變動)에 따른 간형태(肝形態) 변화(變化)에 대(對)한 고찰(考察))

  • Hong, Kee-Suk;Choi, Du-Hyok;Yang, Young-Tae;Koh, Chang-Soon
    • The Korean Journal of Nuclear Medicine
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    • v.16 no.1
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    • pp.49-54
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    • 1982
  • For this study, the authors obtained and examined anterior views of the liver and spleen in two different positions, upright and supine, of 39 normal subjects and 20 patients with hepaticpathology by means of $^{99m}Tc-colloid$ and gamma camera. This examination confirms the following findings. In general, it is shown, left lobe of the liver in upright position becomes longer in height than in supine position, while the distance between lateral margin of the liver and that of the spleen becomes father in with in supine position than in upright position. The upper margin of liver moves more downward in upright position than in supine. It is noticeable that as for 5 cases with severe chronic liver disease, there is minimal alteration of the liver shape between in two positions. The comparison of the both positions for the better liver scan shows the following finding. Prominent caudate and/or left lobe are marked in the upright position in 16 cases out of the total 59, while none is found in the supine. The false cold area in lower part of the liver disappears in 7 cases in the upright position, while only one shows the disappeance of the false cold area in the supine. Left liver margin due to close contact of spleen is blurred in 3 cases in the upright position. In total 23 cases out of 59 support that the upright position is better for the liver scan, while only 4 cases support the supine position is better. These findings support two assumptions. One is that upright view can bo expected more improved resoluton than supine view for liver scan. Second is that minimal change of the liver shape in both views indicate the serious abnormality in the liver.

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