• Title/Summary/Keyword: Convalescent

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Complete occlusion of the right middle cerebral artery associated with Mycoplasma pneumoniae pneumonia

  • Kang, Ben;Kim, Dong Hyun;Hong, Young Jin;Son, Byong Kwan;Lim, Myung Kwan;Choe, Yon Ho;Kwon, Young Se
    • Clinical and Experimental Pediatrics
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    • v.59 no.3
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    • pp.149-152
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    • 2016
  • We report a case of a 5-year-old girl who developed left hemiparesis and left facial palsy, 6 days after the initiation of fever and respiratory symptoms due to pneumonia. Chest radiography, conducted upon admission, showed pneumonic infiltration and pleural effusion in the left lung field. Brain magnetic resonance imaging showed acute ischemic infarction in the right middle cerebral artery territory. Brain magnetic resonance angiography and transfemoral cerebral angiography revealed complete occlusion of the right middle cerebral artery. Mycoplasma pneumoniae infection was identified by a 4-fold increase in IgG antibodies to M. pneumoniae between acute and convalescent sera by enzyme-linked immunosorbent assay. Fibrinogen and D-dimer levels were elevated, while laboratory exams in order to identify other predisposing factors of pediatric stroke were all negative. This is the first reported pediatric case in English literature of a M. pneumoniae-associated cerebral infarction involving complete occlusion of the right middle cerebral artery.

Changes of Pituitary Hormones after Injection of Naloxone in the Hypotensive Phase of Korean Hemorrhagic Fever (한국형 출혈열 저혈압기에서 Naloxone 투여후 뇌하수체 홀몬의 변동)

  • Lim, Sang-Moo;Cho, Bo-Youn;Lee, Hong-Gyu;Lee, Jung-Sang;Koh, Chang-Soon;Kim, Byung-Tae
    • The Korean Journal of Nuclear Medicine
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    • v.20 no.2
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    • pp.79-84
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    • 1986
  • The opiate antagonist, naloxone, was injected for the reversal of hypotension due to Korean hemorrhagic fever, and the authors observed changes in pituitary hormones. In the hypotensive phase of the Korean hemorrhagic fever, the f-endorphin was high, and normalized granually in the diuretic and convalescent period. The naloxone raised the pulse rate and the blood pressure within 30 minutes without change in the central venous pressure. Around 30 minuted after the injection of the naloxone, the $\beta-endorphin$, ACTH and cortisol rose. The prolactin fell down 60 minutes after the naloxone injection.

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A Study of Andropause Symptoms and Life Satisfaction among Middle-aged Men (중년 남성의 갱년기 증상과 삶의 만족도에 관한 연구)

  • Lee, Young-Joo;Kim, Jung-Hee
    • Research in Community and Public Health Nursing
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    • v.16 no.2
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    • pp.186-195
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    • 2005
  • Purpose: This study aims to understand andropause symptoms and life satisfaction among middle-aged Korean men. Method: The subjects were selected among men in their middle age who visited one of two university hospitals or a convalescent center in Seoul. Korea. Eight items were used to measure their andropause symptoms. Life Satisfaction Index-Z was used to measure life satisfaction. Results: Major symptoms related andropause. in the order of frequency, include memory loss, muscle weakness. powerlessness and impotence. Among the subjects. 62.5% smoked and 70% drank alcohol. and life satisfaction was generally moderate in the participants. Current smokers and alcohol drinkers reported a low level of life satisfaction. Diabetic patients and subjects who had powerlessness and hot flashes of andropause symptoms experienced a low level of life satisfaction. Muscle weakness was more frequent in current smokers, and powerlessness more in alcohol drinkers. Conclusion: This study's findings indicate that and ropause is one of major health concerns among middle-aged men. It reminds us of the smoking and alcohol drinking issues among middle-aged men. These findings show the necessity to improve strategies for nursing intervention in andropause symptoms and health risk behaviors.

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Acute Necrotizing Pancreatitis Associated with Mycoplasma pneumoniae Infection in a Child

  • Yang, Aram;Kang, Ben;Choi, So Yoon;Cho, Joong Bum;Kim, Yae-Jean;Jeon, Tae Yeon;Choe, Yon Ho
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • v.18 no.3
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    • pp.209-215
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    • 2015
  • Mycoplasma pneumoniae is responsible for approximately 20% to 30% of community-acquired pneumonia, and is well known for its diverse extrapulmonary manifestations. However, acute necrotizing pancreatits is an extremely rare extrapulmonary manifestation of M. pneumoniae infection. A 6-year-old girl was admitted due to abdominal pain, vomiting, fever, and confused mentality. Acute necrotizing pancreatitis was diagnosed according to symptoms, laboratory test results, and abdominal computed tomography scans. M. pneumoniae infection was diagnosed by a 4-fold increase in antibodies to M. pneumoniae between acute and convalescent sera by particle agglutination antibody assay. No other etiologic factors or pathogens were detected. Despite the occurrence of a large infected pseudocyst during the course, the patient was able to discharge without morbidity by early aggressive supportive care. This is the first case in Korea of a child with acute necrotizing pancreatitis associated with M. pneumoniae infection.

Pediatric Mycoplasma pneumoniae Infection Presenting with Acute Cholestatic Hepatitis and Other Extrapulmonary Manifestations in the Absence of Pneumonia

  • Song, Won Jae;Kang, Ben;Lee, Hwa Pyung;Cho, Joongbum;Lee, Hae Jeong;Choe, Yon Ho
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • v.20 no.2
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    • pp.124-129
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    • 2017
  • Mycoplasma pneumoniae infections mainly involve respiratory tract; however, also can manifestate other symptoms by site involved. Extrapulmonary manifestations of M. pneumoniae infection are rarely known to occur without pneumonia. Herein we report a case of a 9-year-old boy who presented with acute cholestatic hepatitis in the absence of pneumonia. Rhabdomyolysis, skin rash, and initial laboratory results suspicious of disseminated intravascular coagulopathy were also observed in this patient. M. pneumoniae infection was identified by a 4-fold increase in immunoglobulin G antibodies to M. pneumoniae between acute and convalescent sera by enzyme-linked immunosorbent assay. This is the first pediatric case in Korea of M. pneumoniae infection presenting with acute cholestatic hepatitis in the absence of pneumonia.

The Influence of Aging Anxiety and Successful Aging on Retirement Preparation in Middle Aged Women (중년여성의 노화불안, 성공적노화가 노후준비에 미치는 영향)

  • Choi, Young Mi;Choi, Seong Hui;Ahn, Okhee
    • Journal of muscle and joint health
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    • v.26 no.3
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    • pp.175-183
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    • 2019
  • Purpose: This is a descriptive research examining the relationships between aging anxiety, perceived level of successful aging, and preparation for aging as well as factors influencing preparation for aging. Methods: Subjects of this study were 221 women aged between 40 and 59 years residing in area J. Data were collected from October 27, 2017 to November 9, 2017, using a structured questionnaire. The collected data were analyzed using the statistical program SPSS/WIN 24.0. Results: Regression analysis revaled that factors having a significant effect on the preparation for aging of the subjects were age, perceived health status, exercise, leisure activity, aging anxiety, and perception of successful aging. The total explanatory power was 42.3%. Conclusion: Based on the results of this study, it was found that aging anxiety and successful aging influenced the preparation for aging of middle-aged women. Therefore, it is necessary to develop a nursing intervention that properly manage aging anxiety and improves successful aging, in order to encourage middle-aged women to actively prepare for their later lives.

$^{131}I$-O-Iodohippurate Renogram in Epidemic Hemorrhagic Fever (유행성(流行性) 출혈열환자(出血熱患者)의 Radio Renogram)

  • Kim, Myung-Jae
    • The Korean Journal of Nuclear Medicine
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    • v.1 no.2
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    • pp.75-84
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    • 1967
  • $^{131}I$-labeled-O-iodohippurate renograms in 15 cases of epidemic hemorrhagic fever(E.H. fever)during oliguric, diuretic and convalescent phase were analysed quantitatively and qualitatively, namely by its configuration, Tmax T 1/2 and renal index of Hirakawa. The results were as following: 1) Changes on the renograms in E.H. fever showed simultaneous bilateral renal impairment. 2) The characteristic configurations of renogram in the oliguric phase were: (1) Moderately decreased absolute amplitude of initial spike. (2) Continous rising second slope. (3) No appearance of terminal descent. Those were mast likely to those of renograms in acute ureteral obstruction or acute dehydration state. 3) During the diuretic phase, the renogram showed the point of maximal amplitude, but the steepness of 2nd slope was markedly decreased. The appearance of terminal descents was observed with unusually high amplitude despite of the tremendously large amount of urinary output during this phase. 4) In convalescence, the renograms were essentially normal in configuration, but the renal index of Hirakawa was not recovered until this phase. 5) Renograms in E.H. fever showed the characteristic patterns in each phase of its clinical course. 6) $^{131}I$-OIH-Renogram might be an useful method for the evaluation of renal function in E.H. fever during its course.

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The Effect of Listening to Music for the Reduction of Unilateral Neglect in Chronic Stroke: A Single Subject Study (음악 감상이 만성기 뇌졸중 환자의 편측무시에 미치는 영향: 단일대상 연구)

  • Lee, Eun-Young
    • Therapeutic Science for Rehabilitation
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    • v.2 no.1
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    • pp.57-65
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    • 2013
  • Objective : This study aims to investigate the effect of listening to music for the reduction of unilateral neglect in stroke patients. Methods : This study used a single subject (A-B) design for a stroke patient with unilateral neglect. The subject was trained for 12 sessions in total. Unilateral neglect was measured using a line bisection test and catherine bergego scale. Results : The line bisection test showed decreased mean error scores of treatment period(B) compared with baseline period(A). and catherine bergego scale showed slightly decreased total scores of treatment period(B) compared with baseline period(A). Conclusion : The listening to music showed a beneficial effect for the reduction of unilateral neglect.

Effect of McKenzie Exercise on Temporomandibular Joint Disorder and Body Balance (맥켄지운동이 턱관절 장애 및 신체균형에 미치는 효과)

  • Lee, Dongjin;Ji, Sungha
    • Journal of The Korean Society of Integrative Medicine
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    • v.7 no.4
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    • pp.1-11
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    • 2019
  • Purpose : This study was aimed at investgating the effect of McKenzie exercise on temporomandibular joint disorder (TMJD) and body balance. Methods : Thirty subjects with TMJD were selected. They were randomly assigned to one of two groups (15 in each group) : namely the conservative treatment group and McKenzie exercise group. The conservative treatment group were treated physical therapy for 6 weeks (3 times a week). The McKenzie exercise group performed McKenzie exercise for 6 weeks (3 times a week). We measured mouth opening, pain, muscle activation and body balance before and after exercise by using the maximum mouth opening MMO), visual analog scale (VAS), electromyography and Biodex Balance System, respectively. Results : We found statistically significant differences in pain and mouth opening in the conservative treatment group and McKenzie exercise group before and after (p<.05). Conclusion : We confirmed the effect of McKenzie exercise on TMJD. Thus we thought these results could be used as basic data and reference for TMJD. But we need more study effect of McKenzie exercise on TMJD and body balance.

Monoclonal antibody-based enzyme immuno-slide assay (EISA) in the rapid diagnosis of Peste des petits ruminants of goats

  • Das, Kamol K.;Rahman, M.B.;Shil, N.K.;Rahman, Md Siddiqur;Jang, Hyung-Kwan;Song, Hee-Jong
    • Korean Journal of Veterinary Service
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    • v.33 no.1
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    • pp.1-6
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    • 2010
  • Monoclonal antibody (mAb)-based enzyme immune-slide assay (EISA) was used for the detection of Peste des petits ruminants (PPR) virus from field samples collected from a natural outbreak. The clinicopathological study was undertaken to diagnose the case primarily of PPR. Antigen was detected from discharges and faeces of infected goats and swabs of postmortem lesions prepared on glass slide or glass plate using acetone fixation. Nasal discharge collected at the early stage of disease course or lung is an appropriate ante- or postmortem sample for this technique, respectively. Convalescent polyclonal sera collected from recovered animals which were diagnosed as PPR by EISA showed high antibody titer against PPR by C-ELISA, demonstrating the satisfactory specificity of the test. Therefore, EISA is a sensitive and specific assay to confirm PPR infection both in field and laboratory conditions and especially suitable for developing country.