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Immediate Effect of Flexion-Distraction Spinal Manipulation on Intervertebral Height, Pain, and Spine Mobility in Patients with Lumbar Degenerative Disc Disease

  • Pi, Taejin;Chung, Yijung
    • Physical Therapy Rehabilitation Science
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    • v.10 no.2
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    • pp.235-243
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    • 2021
  • Objective: This study aimed to investigate the short-term effects of flexion-distraction spinal manipulation on intervertebral height, pain, spine mobility in patients with lumbar degenerative disc disease. Design: Randomized controlled trial with a pretest-posttest control group design Methods: A total of 96 participants with degenerative disc disease participated in the study and were randomly divided into two groups. Both groups received intervention for 3-5 minutes a day. The experimental group (n=48) underwent flexion-distraction spinal manipulation for 3-5 minutes, and the control group (n=48) was maintained in the same position as the experimental group for 5 minutes without any intervention. The intervertebral height was measured by computed tomography, pain was assessed using visual analog scale, and the spine in flexion mobility was measured using the finger-to-floor distance test and passive straight leg raise test. Pre-test and post-test measurements were obtained. Results: The experimental group showed significant improvement in intervertebral height, degree of pain, and spinal mobility (p<0.05). The intervertebral height increased from 6.32±1.90 to 6.93±1.85 mm (p<0.05), lower back pain decreased from 69.17±13.35 mm to 48.48±12.20 mm (p<0.05), lumbar spine mobility changed from 17.37±4.49 to 12.69±4.34 cm (p<0.05), and passive straight leg raise test range increased from 46.94±13.05° to 56.01±12.20° (p<0.05). Conclusions: This study suggests that flexion-distraction spinal manipulation could be an effective treatment for decreasing pain and improving function in patients with degenerative disc disease.

Case Report: Korean Medicine Treatment for a Patient Complaining of Hot Flashes after COVID-19 Infection (Covid-19 감염 이후 상열감을 호소하는 환자에 대한 한의 치험 1례)

  • Hye-min Heo;Kyeong-hwa Lee;Kyeong-hwa Heo;Ye-chae Hwang;Seung-yeon Cho;Jung-mi Park;Chang-nam Ko;Seong-uk Park
    • The Journal of Internal Korean Medicine
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    • v.44 no.2
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    • pp.207-215
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    • 2023
  • This study reported a case of hot flashes in a patient after coronavirus disease-2019 (COVID-19) infection. The patient in this case was hospitalized for eight days and improved after the administration of Korean medicine, mainly Yangkyuksanwha-tang. We evaluated the patient's subjective discomfort daily, and the patient kept a diary of hot flashes every day. After treatment, the degree and frequency of hot flashes were greatly improved and continued two weeks after discharge. In addition, the accompanying hyperhidrosis improved from Grade 2 to Grade 0. This study suggests that Korean medicine might be effective in combating the hot flashes of soyangin-type patients.

Effects of Jakyakkamchobuja-tang (芍藥甘草附子湯) on Papain-induced Osteoarthritis in Mice (Papain으로 유도된 골관절염 생쥐 모델에서 작약감초부자탕(芍藥甘草附子湯)의 항골관절염 효능에 관한 연구)

  • Lee, Jung-Min;Hong, Seo-Young;Oh, Min-Seok
    • The Journal of Korean Medicine
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    • v.34 no.1
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    • pp.116-135
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    • 2013
  • Objectives: This study was intended to clarify how Jakyakkamchobuja-tang (hereinafter referred to JKBT) affects mice of C57BL/10 whose osteoarthritis was induced by papain. Methods: Osteoarthritis was induced in mice by injecting papain in the knee joint. Mice were divided into 4 groups (n=6). The normal group were not treated at all whereas the control group (OAC-control) were induced for osteoarthritis by papain and oral medicated with 200 ul of physiological saline per day. The positive comparison group (OAC-$Joins^{(R)}$) were injected with papain and after 7 days, 100 mg/kg of $Joins^{(R)}$ were medicated with 200 ul of physiological saline mixed. The experimental group (OAC-JKBT) were injected with papain and after 7 days were medicated with 400 mg/kg of JKBT mixed with 200 ul of physiological saline. OAC-$Joins^{(R)}$ and OAC-JKBT were oral medicated for each substance for a total of 4 weeks, once per day. After experiments (from 1 week after injection of papain to 4 weeks elapsed), the function of liver and kidney, inflammation cytokine values within serum, degree of revelation for inflammation cytokine genes, immune cells within blood, metabolism of arachidonic acid and amount of cartilage were measured and histopathological variations for knee joint structures were observed. Results: Functions of liver and kidney were not affected. IL-$1{\beta}$ (interleukin-$1{\beta}$), MCP-1 (monocyte chemoattractant protein-1) and TNF-${\alpha}$ (tumor necrosis factor-${\alpha}$) were significantly reduced and IL-6 (interleukin-6) was also reduced but not significantly. After analyzing inflammation cytokine in joints with mRNA (messenger ribonucleic acid), revelation of IL-6, TNF-${\alpha}$, COX-2 (cyclooxygenase-2) and iNOS-II (inducible nitric oxide synthase-II) were all significantly reduced. Revelation of IL-$1{\beta}$ gene was also reduced but not significantly. Neutrophil for WBC (white blood cell) within serum was significantly reduced; monocyte was also reduced but not significantly. PGE2 (prostaglandin E2), TXB2 (thromboxane B2) were significantly reduced and LTB4 (leukotriene B4) was also reduced but not significantly. Destruction of cartilage on micro CT (computed tomography)-arthrography was reduced but had no significant differences. In terms of histopathology, infiltration of inflammation, proliferation of synovial membrane, subsidence of cartilage and bone due to penetration of excessive formation of synovial cell and destruction of cartilage were small (H&E (hematoxylin and eosin), safranine O staining). Conclusions: Based on these results, Jakyakkamchobuja-tang (JKBT) is believed to be useful for suppressing the progress of osteoarthritis and its treatments because of its anti-inflammatory effects and alleviation of pain with histopathological effective efficacy.

The Agricultural Utilization of Daecheong Lake Sediments and Algae (대청호(大淸湖) 저니(底泥) 및 조류(藻類)의 농업적(農業的) 활용(活用) 연구(硏究))

  • Chang, Ki-Woon;Lim, Jae-Shin;Lee, In-Bog
    • Korean Journal of Soil Science and Fertilizer
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    • v.27 no.2
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    • pp.111-116
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    • 1994
  • These studies were carried out to investigate the possibility on the agricultural utilization of lake sediment collected in the Daecheong Lake. Several parameters to estimate the degree of maturity of compost by windrow system were tested during a 50 day periods, and the results were as follows : During the composting of Daecheong Lake sediment, C/N ratio decreased gradually from 18.9 at the beginning to 13.1 at the final, while CEC increased from 33.5me/100g to 62.5me/100g. The temperature of lake sediment pile was the highest as $52^{\circ}C$ at 15th day and then decreased slowly until $30^{\circ}C{\sim}40^{\circ}C$ after 50 days. The results may be suggested that Daecheong Lake sediment compost reaches an acceptable level of stability after about 50 days. In order to know the effect of the Lake sediment and its compost on the growth of tomato(Lycopersicum esculentum M.), pot experiments were performed. The appiication of lake sediment(AS) itself, sediment organic fertilizer(SOF), and NPK mixed with sediment organic fertilizer(NSF) was more effective for tomato plant height, fresh and dry weight, and chlorphyll content than those of control treatment. Also, the lake sediment compost improved the physico-chemical properties of soil such as pH, total carbon, total nitrogen, available phosphorous and CEC.

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The Effect of the Delayed Resolution of Cognitive Conflict on Middle School Students' Conceptual Change in Science (인지갈등 해소 지연이 중학생의 과학 개념변화에 미치는 효과)

  • Choi, Han-Yong;Kim, Ji-Na;Choi, Hyuk-Joon;Kwon, Jae-Sool
    • Journal of The Korean Association For Science Education
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    • v.24 no.2
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    • pp.408-415
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    • 2004
  • The purpose of this study is to investigate the effect of the delayed resolution of cognitive conflict on middle school students' conceptual change in learning the concept of the action and reaction with cognitive conflict strategy. The subjects were divided into 3 groups according to the time in which teacher tried to resolve cognitive conflict: instant resolution group, 2-day delay resolution group, and 7-day delay resolution group. Pretest, just before test, posttest, and delayed posttest were examined to measure the degree of conceptual change. Delay resolution groups' students answered the questionnaire asking what they had done to resolve cognitive conflict during the period which had been delayed resolution of cognitive conflict. The results of this study were as follows. First, instant resolution group showed significantly more scientific conceptual change than delay resolution groups. Secondly, most of delay resolution groups' students who tried to resolve cognitive conflict interacted with their peers. Also, delayed resolution of cognitive conflict was not helpful to resolve cognitive conflict. Thirdly, in delay resolution groups, we found the tendency that students who spent more than 30 minutes trying to resolve cognitive conflict altered their preconceptions into scientific concepts more easily than the others did. According to the results of this study, instant resolution of cognitive conflict is more effective on scientific conceptual change than delayed resolution of cognitive conflict.

The Relationship with Internet Addiction, VDT Syndrome and Health Behavior of Elementary School Students (초등학생의 인터넷 중독과 VDT 증후군 및 건강행위 간의 관련성)

  • Lee, Gyeong-Ran;Hwang, Mi-Hye
    • The Journal of Korean Society for School & Community Health Education
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    • v.9 no.2
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    • pp.65-80
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    • 2008
  • Objectives: To identify the relationship between the internet addition of elementary school students, and their health behavior and VDT syndrome, and thereby to detect the impact of internet addiction on the health behavior of elementary school students, to get the basic information necessary to develop a prevention program for internet addiction and to plan for VDT syndrome prevention program. Methods: We conducted this study during the period from jun 27, 2007 through July 8, 2007. The subjects of this study were 416 children whose grades were in 4th through 6th grades of elementary schools located in the city A in Kyung Pook Providence. Data were obtained from self-rating questionnaires. The questionnaires were composed of Korean Internet Addiction Self-examination on Internet Use Patterns (K-scale), Health Behavior Profile, VDT Syndrome, and general characteristics. We used t-test, AVOVA with Ducan method for Post-hoc comparison in means comparison between groups, $X^2$-test for frequency analysis and Pearson's correlation coefficient. We used SPSS/PC(12.0 ver) program and the LISREL 8.53 Win program for covariance structural analysis. Results: Major results were as follows. 1. The internet addiction propensity distribution based on the distribution of scores were investigated according to the self diagnosis scale on internet addiction. 6.5% of them were high risk user group, 14.4% were potential risk users and 79.1% of them were common user groups. 2. Internet addictions by sex, internet use duration, frequency (days/week), time(hours/day), purpose, position, brightness of internet, attitude of parents and frequency of conversation of family members were statistically significant(p<0.01). 3. There was a statistically significant difference in VDT syndrome according to internet addiction groups(p<0.001) besides ocular symptoms, dry mouth and GI troubles. 4. The health behavior score was the lowest in high risk user group(p<0.001). There were significant differences between internet addiction groups in personal hygiene and habits of daily living(p<.002), the prevention of accidents(p<.002), the practice concerned with the prevention of infectious disease(p=.002), and mental health(p<.001). 5. There was also a significant negative correlation between internal addiction and health profile(r=-0.365, p<0.01) and a significant positive correlation between internal addiction and VDT syndrome(r=0.331, p<0.01). 6. As the result of structural model analysis, internet use time(/day), days of internet use(/1week), conversation frequency among family members, degree of brightness of internet use had significant direct effects on internet addiction. Conclusions: The results will help the development of an effective intervention program for the prevention and treatment of internal addiction by clarifying the effect of the internal addiction upon elementary school students' VDT syndrome and health behavior.

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Effect of Voriconazole or Itraconazole on the Plasma Concentrations of Tacrolimus in Lung Transplant Recipients (폐이식 환자에서 tacrolimus와 itraconazole 혹은 voriconazole 병용 시 tacrolimus의 혈중 농도 변화에 미치는 영향)

  • Jung, Yoo Jin;Yi, Young Suk;Ahn, Ji Hyune;Son, Eun Sun;Park, Min Soo;Lee, Jangik I.;Chang, Min Jung
    • Korean Journal of Clinical Pharmacy
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    • v.26 no.4
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    • pp.306-311
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    • 2016
  • Objective: This study was performed to compare the changes in the blood concentrations of tacrolimus when either itraconazole or voriconazole is together with tacrolimus to prevent or treat invasive aspergillus pneumonia (IAP) in patients with lung transplants. Therefore we can compare the degree of drug-drug interactions between tacrolimus and itraconazole against tacrolimus and voriconazole. Methods: Patients who were admitted and had lung transplants in a territory referral hospital from September 2012 to May 2015 were analyzed retrospectively. The effects of itraconazole and voriconazole on the plasma concentrations of tacrolimus were analyzed. Results: Mean tacrolimus concentrations was $10.49{\pm}2.35ng/mL$ vs. $10.95{\pm}2.98ng/mL$ (p=0.722), and mean concentration of tacrolimus over the dose of tacrolimus per day was $8.510{\pm}5.890(ng/mL)/(mg/d)$ vs. $15.45{\pm}28.47(ng/mL)/(mg/d)$ (p=0.947) in itraconazole vs. voriconazole group each. The ratio of the number of the results out of target tacrolimus concentrations to the total number of tacrolimus concentration results was $18.0{\pm}13.3%$ vs. $24.4{\pm}18.5%$ (p=0.185). Conclusion: There were no significant differences between itraconzaole and voriconazole to have influences on mean concentrations of tacrolimus over tacrolimus dose per weight per day. However voriconazole tended to raise tacrolimus plasma concentrations more than itraconazole. Safer and more effective drug management to prevent and treat fungal infections should be done by therapeutic drug monitoring not only of tacrolimus but of itraconazole and voriconazole in lung transplant patients.

Effects of Temperature on the Development of Delia platura(Diptera: Anthomyiidae) (씨고자리파리의 발육에 미치는 온도의 영향)

  • 이건휘;최만영;한상수;김상수
    • Korean journal of applied entomology
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    • v.39 no.1
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    • pp.21-24
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    • 2000
  • These studies were conducted to investigate the effect of temperature on the developmentof Delia platura (Meigen) under a laboratory condition at five different temperatures. The developmentalperiods of D. platurcr from egg to adult emcrgence at the temperatures of 11, 15, 19, 23, and 27$^{\circ}$C were67.8k 14.5, 43.7t-9.4, 31.2-t-7.0, 22.4k4.9, and 18.3k4.1 days, respectively. Based on these results,threshold temperature of development and effective cumulative degree-day (DD) for overall developmentwas 0.6"C and 579.8 DD, respectively. Generation of time D. pluturci averaged 30.8 days, and meannumber of eggs produced per female was 246.5 k 16.9 at 23$^{\circ}$C. Hatching rate and emergence rate curvesin relation to the temperature was dome shaped with the peak of 90.0 and 85.2% at 23"C, it wassuggesting that hatching and emergence were inhibited by high temperature above that temperature.Pupation rate of the insect reared on garlic and on onion were higher than those reared on other diets.Oviposition of D. platum usually began 7-9 days after emergence at 23$^{\circ}$C. Females laid about 3-4 eggsin a day. Oviposition of the females peaked at the age of 12- 18 days after emergence. of 12- 18 days after emergence.

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Effect of Temperature on the Development, Oviposition and Predation of the Bigeyed Bug, Geocoris pallidipennis Costa (Hemiptera: Lygaeidae) (참딱부리긴노린재의 발육, 산란, 포식에 미치는 온도의 영향)

  • Kim, Jeong-Hwan;Kim, Hwang-Young;Byeon, Young-Woong;Choi, Man-Young;Kang, Eun-Jin
    • Korean journal of applied entomology
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    • v.51 no.4
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    • pp.461-467
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    • 2012
  • Developmental characteristics of Geocoris pallidipennis were investigated at a constant temperature ($20{\pm}1$, $25{\pm}1$, $30{\pm}1$, $35{\pm}1$, $37.5{\pm}1$ and $40{\pm}1^{\circ}C$), under long day illumination 16:8 (L:D) and constant relative humidity ($80{\pm}10%$). From egg to adulthood, the lower developmental threshold and the effective accumulative temperature were $14.8^{\circ}C$ and 399.1 day-degree, respectively. The experimental results at $35^{\circ}C$ were as follows. The egg period was 5.6 days (hatchability: 81.1%) and the nymphal period was 14.3 days (1st: 3.2, 2nd: 2.2, 3rd: 2.7, 4th: 2.7, 5th: 3.6). Female longevity was 33.8 days and the oviposition period was 29.2 days. Total egg production was 111.2 eggs and the maximum daily egg production was 14.8 eggs (in 7th days). However, although some eggs and nymphs developed at $37.5^{\circ}C$, G. pallidipennis could not develop at $40^{\circ}C$, The total egg production at $40^{\circ}C$ was only 22.1 eggs. When G. pallidipennis was fed on Bemisia tabaci pupae, daily prey consumption by nymphs (1st, 3rd and 5th) and adults was 1.9, 7.3, 18.7 and 29.5, respectively.

Study on Prevention of Foreign Material Formation in Sclerotium of Poria cocos. (복령 균핵내 이물질 생성 방지 연구)

  • 장현유
    • Korean Journal of Plant Resources
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    • v.13 no.2
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    • pp.147-153
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    • 2000
  • Experiments were carried out to determine the effects of culturing conditions DCI(Day required for Colonization after Inoculation), CR(Contamination Rate), MD(Mycelial Density), DPI(Day required for Primordial sclerotia formation after Inoculation), yields, and degree of the foreign materials formations in Poria cocos sclerotia. The upper and bottom side of wood logs were covered with gauze, rice hull and floating leaves, vinyl, or covering cloth in order to prevent foreign material formations in p. cocos. The major results were positive in the order of rice hull, floating leaf, vinyl, gauze, and covering cloth covered and dwindled. In case of the upper and bottom sides of the wood logs covered with rice hull, DCI required 50 days more when compared with the control group(45 days) and CR was 0%, while the control group showed 2% CR. MD was excellent in case of conventional methods as against control's. DPI required 17~20 days less when compared with the control group(82 days). Yields of p. cocos in case of the upper and bottom side of wood logs covered with rice hull were 5.87kg, which is 35.7% higher than that of the control group(4.33kg), and 5.62kg in the case of upper sides cover only(increased by 29.8% compared with control), and 5.59kg in the case of bottom side cover only(increased by 29.1% compared with control), and foreign materials were none. In a separate experiment, where the upper and bottom sides of wood logs were covered with rice hull to prevent the foreign material formation, the results were as follows : Sclerotia formation status and quality of P. cocos were effective in the order of 20cm, 40cm, and 60cm of buring depth and dwindled. In 20cm of burying depth, DCI was shortened by 5 days and CR was none, while the control group showed 2% CR. MD was remarkably fine at the mulched conditions. DPI was shortened by 20 days when compared with the control(62 days).

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