• 제목/요약/키워드: Clinical investigation

검색결과 1,257건 처리시간 0.027초

The Effects of Breathing Exercise on Respiratory Synergist Muscle Activity and SpO2 in Patients with Chronic Obstructive Pulmonary Disease

  • Jeong, Dae-Keun
    • The Journal of Korean Physical Therapy
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    • 제27권4호
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    • pp.234-239
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    • 2015
  • Purpose: This study is not a fragmentary study on characteristics of respiratory synergist when breathing, however it was intended to determine the effect of currently available respiratory exercise and to provide basic clinical information through investigation of oxygen demand and respiratory synergist that mobilizes for respiration during application of respiratory exercise. Methods: Experimental group I was selected from second grade of severity classification of GOLD, which has the highest percentage among patients with COPD, and experimental group II was selected from third grade of severity classification as a clinical sampling. After respiration pursing up lips and diaphragm respiration exercise were mediated together for six weeks, activity of respiratory muscles and oxygen saturation were measured and analyzed. Results: In comparison of change of respiratory synergist and oxygen saturation, activity of respiratory synergist in sternocleidomastoid muscle and scalene muscle showed a meaningful decrease in experimental group I. And, in comparison of change of respiratory synergist and oxygen saturation, activity of respiratory synergist in rectus abdominis muscle showed a meaningful increase in experimental group II. In comparison of change of respiratory synergist and oxygen saturation, activity of respiratory synergist in sternocleidomastoid muscle, scalene muscle, and rectus abdominis muscle showed a meaningful difference between experimental groups. Conclusion: Respiratory synergists work mainly as agonist of chest and upper limbs. Therefore it is very important to lower mobilization of respiratory synergist when breathing. It is considered that a multilateral approach and continued clinical research for improvement of respiratory function for patients with COPD will be needed in the future.

$^{57}Co-BLM$을 이용한 종양진단 신티그라피에 관한 연구 (Clinical Evaluation of $^{57}Co-labelled$ Bleomycin for Tumor Localization)

  • 유용운;김장휘;이진오
    • 대한핵의학회지
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    • 제21권1호
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    • pp.61-68
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    • 1987
  • Investigation with $^{57}Co-Bleomycin$ in patients with the various cancers and in tumor bearing animals are descirbed. In the patients, $^{57}Co-Bleomycin$ appears to be one of the useful tumor-seeking radiopharmaceuticals, and worth applicable to clinical uses. Labelled yield of $^{57}Co-Bleo$ was about 97 % by thin layer chromatography. The pyrogen free tests were performed to meet U.S.P. critical ranges. In clinical studies with $^{57}Co-Bleo$, 4 cases out of 5 patients with lung cancer., 2 cases among 3 thyroid cancer patients, and all 3 hepatoma patients showed positive tumor scans. The patients with stomach cancer, and the esophageal cancer showed false negative scintigraphy. A case with pulmonary tuberculosis showed a positive scan while liver abscess showed a negative picture. The merits of $^{57}Co-Bleomycin$ scintigraphy seems to be its relatively high affinity to tumors and low radiation hazard in spite of long physical half life.

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Seasonal Prevalence and Abundance of Mosquitoes at the Busan Port (2001~2006)

  • Kim, Mi-Kyeong;Lee, Eun-Ju
    • 대한임상검사과학회지
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    • 제44권4호
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    • pp.199-204
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    • 2012
  • The purpose of this study is to examine the population density of the mosquito species, and to provide the basic data related to vector mosquitoes to manage the possible epidemic diseases. During a 4-year investigation (2001, 2002, 2004, and 2006), we collected the specimens of the mosquitoes at pier no. 1, 3 and 5 of Busan port with light traps from sunset until the next day morning from April to October each year. Through the research, we collected 5,985 mosquito specimens in total and found 7 mosquito species belonging to 3 genera. A total of 1,575, 1,473, 1,478 and 1,459 mosquito specimens were collected in 2001, 2002, 2004 and 2006, respectively. Among them, 5,568 (93.0%) specimens were Culex pipiens pallens, the West Nile virus infection vector, which showed the highest density among the specimens. The population densities of the other species were: 295(4.9%) Culex tritaeniorhynchus, 94(1.5%) Aedes togoi, 12(0.3%) Aedes albopictus, 10(0.2%) Anopheles sinensis, 4(0.1%) Aedes vexans nipponii, 2(0.1%) Culex inatomii. The monthly abundance of mosquitoes from July through September showed the highest values. Although it was a general mosquito monitoring study, this study could provide a base for securing the statistical data on spreading epidemic diseases by people infected outside Korea.

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Multiple Endocrinologic Complications in Thalassemia Major

  • Wong, Siong Hu;Omar, Julia;Ismail, Tuan Salwani Tuan
    • 대한임상검사과학회지
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    • 제49권4호
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    • pp.495-497
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    • 2017
  • Thalassemia major is a genetic disorder with a defective synthesis of either the alpha or the beta chain of hemoglobin A. Blood transfusion is crucial for the survival in these patients. Unfortunately, endocrine dysfunction is a very common complication in these patients and is principally due to excessive iron overload as a result of frequent blood transfusions. Although regular blood transfusion may increase life expectancy, disturbances in growth and pubertal development, abnormal gonadal functions, impaired thyroid, parathyroid and adrenal functions, diabetes, and disorderly bone growth are common side effects. We hereby present a case of a 23-year-old, unmarried woman with beta thalassemia major presenting with primary amenorrhea, poor development of secondary sexual character, and short stature. Thorough history, clinical examination, and laboratory investigation, including dynamic function test (insulin tolerance test) were conducted. These tests confirmed that she had multiple endocrinopathies, including hypogonadotropic hypogonadism, growth hormone deficiency, and subclinical adrenal insufficiency, which were caused by iron overload. She required hormone replacement therapy. Early recognition of possible deficiencies in hypothalamo-pituitary-end organ hormones caused by iron overload in thalassemia patients that undergo frequent blood transfusion procedures is essential. Appropriate treatments, including transfusion regimen and chelation therapy, as well as specific treatment of each complication are the crucial for the successful management and improvement of quality of life these patients.

생활변화가 측두하악기능장애와 치료과정에 끼치는 영향 (Effects of Recent Life Changes on the Temporomandibular Disorders and Treatment Course)

  • Cheol-Ki Park;Kyung-Soo Han
    • Journal of Oral Medicine and Pain
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    • 제17권1호
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    • pp.51-60
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    • 1992
  • 44 Temporomandibular Disorders(TMDs) patients with non-trauma and non-iatrogenic origin pressented at Wonkwang University Dental Hospital. They were grouped into experimental subjects and 85 persons without TMSDs were classified into control groups. The objectives of this study was to investigate the effects of recent life changes on the symptom severity and treatment course of TMDs. For that purpose, the author used several scales and indices, namely, Social Readjustment Rating Scale(SRRS) devised by Holmes and Rahe, SRRS-Korean revision by Hong and Jeong, Helkimos Anamnestic index, Clinical Dysfunction index, and Visual Analogue Scale treatment index(VAS Ti) transformed from VAS by the author. Data resulted from the investigation were collected by scale or index and processed with SPSS. The obtained results were as follows : 1. Life change units(LCU) and values of indices of experimental group were higher than those of control group. 2. Life change units recorded with SRRS-Korean revision were higher than those with original SRRS in all cases and significant positive correlations existed, between he two Therefore, clinical use of original SRRS in Korea is reliable and valid. 3. In experimental group, LCU were positively correlated with Helkimos Clinical Dysfunction index and VAS treatment index, but in control group LCU were not correlated with any items. From this, increase of life changes in patient with TMDs is likely to aggravate TMJ dysfunction and more likely to complicate treatment course.

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잠정적 Silastic 삽입을 이용한 관절원판 적출술 (CLINICAL STUDY OF MENISCECTOMY USING THE TEMPORARY SILASTIC IMPLANT)

  • 김형곤;박광호;김준배;주재동;배성렬;김영환
    • Maxillofacial Plastic and Reconstructive Surgery
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    • 제14권3호
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    • pp.237-244
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    • 1992
  • The author has studied retrospectively the meniscectomy with temporary silastic implant. The study material used was 4 joints that were possible to be followed up in 9 joints of out of all 145 joints who were diagnosed as internal derangement and have been operated in Yongdong Severance hospital from March 1988 to February 1990. We concluded that the use of temporary silastic implant would prevent the complication which would be arised after meniscectomy alone. And we could obtain the results of the relief of clinical symptoms and maintenance or improvement of joint space when preoperative and postoperative clinical and radiographic findings were compared. The larger number of patients and long term follow-up will be needed for further the investigation.

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전북 지역 건강 검진자들의 Anti-HCV 양성률 조사 (Prevalence of Anti-HCV among the Health-checkup Adults in Jeonbuk Province)

  • 김유현
    • 대한임상검사과학회지
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    • 제42권1호
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    • pp.32-37
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    • 2010
  • The author was performed to investigation of current status of prevalence for anti-hepatitis C virus (HCV) among the health-checkup adults in Jeonbuk province. A toal of 1,553 (male 1,046, female 507) serum samples were diagnosed by 3rd generation enzyme immunoassay (EIA) for anti-HCV. Total prevalence of anti-HCV was 0.9%, and prevalence of male and female were 0.8% and 1.2%, respectively. The prevalence of female was higher than male. According to ages group, prevalence of anti-HCV was highest in 60 age group, but it was not found in 20 age group. 14 samples with anti-HCV positive were diagnosed by EIA for hepatitis B virus surface antigen (HBs Ag), by chemiluminescence immunoassay (CLIA) for serum albumin, alanine transaminase (ALT) and asparagine transaminase (AST). Positive for HBs Ag was not found. The mean of serum albumin levels was 4.5 g/dL, and mean of ALT and AST were 34.3 IU and 31.9 IU, respectively. Through this study, I know that the prevalence of anti-HCV among adults in Jeonbuk, and suggest that the positive of anti-HCV persons who have lower serum albumin, normal to mild elevations in serum enzymes are chronic hepatitis.

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위장관 질환의 연구전략수립을 위한 최근 5년간 한의약논문의 체계적 고찰 (Systemic Analysis for Research Strategy Establishment of Gastrointestinal Disease with Oriental Medicine in Korea)

  • 김병주;홍진우;황민우;채한;권영규
    • 동의생리병리학회지
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    • 제23권6호
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    • pp.1273-1281
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    • 2009
  • To research the trends of study and the guidelines of investigation and management about gastrointestinal (GI) disease in oriental medicine, we reviewed and analysed articles published in Korea from 2004 to 2009. The western medicine in medical treatments of GI tract is notorious for their side effects. But, in oriental medicine, we couldn't find any side effects. Although we treat or manage clinical practices of the GI disease every day, however, we do not have abundant evidences about scientific mechanisms of those treated with oriental medicine therapy. Therefore, we suggest that the upward of qualities of life and the improvement of health-care system through the development of oriental medicine therapies in Korea will be need.

치아 미백제가 치아에 미치는 영향과 부작용 최소화를 위한 처치에 관한 고찰 (Effect of bleaching on human teeth and reduced treatment on negative influence -Review)

  • 최재윤;심연수
    • 한국치위생학회지
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    • 제6권4호
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    • pp.481-493
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    • 2006
  • The purpose of the review article was to summarize and discuss the available information concerning the effect of bleaching on human teeth and reduced treatment on negative influence. Tooth bleaching effect was differ from extent of concentration and application period of a tooth bleaching agent, certainly full knowledge prior treatment about adverse effect possible appearance and follow clinical treatment for the least reduce. It remains unclear in how far those observation may result in significant adverse effect under clinical conditions. Nevertheless, further investigation are necessary to elucidate these aspect more precisely. The findings of the study were as follows : 1. It is recommended to delay placement of restorations after termination of bleaching therapy for at least 1-3 weeks. 2. Reduced negative influence that is clinical feasibility of catalase in protecting bleached surface against Oxygen radical. 3. The residual peroxide in tooth after bleaching seems to be removed by gradual diffusion and it may be possible to eliminate the adverse effect on tooth by using water displacement solution, ethylalcohol and aceton including it for effective removal of free radical oxygen.

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The emerging role of lncRNAs in inflammatory bowel disease

  • Yarani, Reza;Mirza, Aashiq H.;Kaur, Simranjeet;Pociot, Flemming
    • Experimental and Molecular Medicine
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    • 제50권12호
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    • pp.7.1-7.14
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    • 2018
  • Dysregulation of long noncoding RNA (lncRNA) expression is linked to the development of various diseases. Recently, an emerging body of evidence has indicated that lncRNAs play important roles in the pathogenesis of inflammatory bowel diseases (IBDs), including Crohn's disease (CD) and ulcerative Colitis (UC). In IBD, lncRNAs have been shown to be involved in diverse processes, including the regulation of intestinal epithelial cell apoptosis, association with lipid metabolism, and cell-cell interactions, thereby enhancing inflammation and the functional regulation of regulatory T cells. In this review, we aim to summarize the current knowledge regarding the role of lncRNAs in IBD and highlight potential avenues for future investigation. We also collate potentially immune-relevant, IBD-associated lncRNAs identified through a built-by association analysis with respect to their neighboring protein-coding genes within IBD-susceptible loci. We further underscore their importance by highlighting their enrichment for various aspects of immune system regulation, including antigen processing/presentation, immune cell proliferation and differentiation, and chronic inflammatory responses. Finally, we summarize the potential of lncRNAs as diagnostic biomarkers in IBD.