• 제목/요약/키워드: Function Tests

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Application of respiratory function tests in patients with neurological diseases

  • Ilhan Yoo;Seok-Jin Choi;Jung-Joon Sung
    • Annals of Clinical Neurophysiology
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    • 제25권1호
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    • pp.1-9
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    • 2023
  • Breathing is controlled by complex interactions between the central and peripheral nervous systems in conjunction with the respiratory system. Neurological diseases predispose patients to nocturnal desaturation and pneumonia due to respiratory dysfunction, which increases mortality, daytime sleepiness and fatigue, and reduces the quality of life. Respiratory function tests are required to identify respiratory function decline and to consider compensatory management. This review summarizes the characteristics of several respiratory function tests and their applications to neurological diseases.

한방병원에 입원한 환자군에서 간기능 검사 이상자의 빈도 조사 (Incidence of Liver Function Test Abnormality among Patients Hospitalized in an Oriental Hospital)

  • 한창우;김수영;민관식;이진혁;이상호;윤유석
    • 대한한의학회지
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    • 제31권2호
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    • pp.109-113
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    • 2010
  • Objectives: Liver function tests are used as screening tests for liver injuries, but their inaccuracy on positive predictive values can result in numerous false positive results. We investigated the incidence of liver function test abnormalities of patients who came to an oriental medicine hospital, in order to present a practical way to rule out false positive results for other studies designed to investigate the safety of Korean herb medicine. Methods: We analyzed the medical records and liver function test results proceeded at admission of all in-patients admitted to Jaseng Oriental Medicine Hospital, from July 2008 to June 2009. Results: Among 1,117 inpatients, 941 executed liver function tests on admission, and 40 were excluded due to their diagnosed liver disease. 747 (82.9%) of 901 enrolled patients were within the normal range of all liver function tests, and 140 (15.5%) and 14 (1.6%) were classified as "abnormalities of liver tests" and "liver injury" respectively, according to the CIOMS (Council for International Organizations of Medical Sciences) criteria. Conclusions: According to the results, among the outcomes of liver function tests proceeded among the patients admitted to the oriental medicine hospital, excluding who were diagnosed with liver disease, 17.1% showed abnormality. This means simple liver function test results are not sufficient in determining liver toxicity of Korean herb medicine (KHM).

정신과 외래 환자에서의 신경 심리 검사 (Neuropsychological Tests in Psychiatric Outpatients)

  • 이성훈;박희정;박혜정;이희상;김찬형
    • 수면정신생리
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    • 제4권1호
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    • pp.120-128
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    • 1997
  • Clinical neuropsychological tests were developed originally for the diagnosis of neurological and neuro-surgical diseases. Recently, these tests are being introduced to psychiatric patients. Authors had the experience to use these tests in pychiatric outpatient clinic. Results were as follows. There was a significantly increase in language and attentional function in residual schizophrenia compared to normal control. In chronic neurosis, as visuospatial function was reduced, language and attentional functions were enhanced. With these results, authors suggest that application of neuropsychological tests in psychiatric patients may be very helpful in classifying the subgroups of disease, in selecting the modality of treatment, and in expecting prognosis.

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Influence of Prescribed Herbal and Western Medicine on Patients with Abnormal Liver Function Tests: A Retrospective Quasi-Experimental Study

  • Lee, Ah-Ram;Yim, Je-Min;Kim, Won-Il
    • 대한약침학회지
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    • 제15권1호
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    • pp.34-39
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    • 2012
  • Objectives: The aim of this study was to investigate the safety and the efficacy of Korean herbal, western and combination medicine use in patients with abnormal liver function tests. Methods: We investigated nerve disease patients with abnormal liver function tests who were treated with Korean herbal, western and combination medicine at Dong-Eui University Oriental Hospital from January 2011 to August 2011. We compared aspartic aminotransferase (AST), alanine aminotransferase (ALT), alkaline phosphatase (ALP) and total bilirubin (T-bil) levels before and after taking medicine and excluded patients who had liver-related disease when admitted. Results: AST and ALT were decreased significantly in patients who had taken herbal, western medicine. AST, ALT and ALP were decreased significantly in patients who had taken combination medicine. Compare to herbal medicine, AST, ALT and ALP were decreased significantly in patients who had taken western medicine, and ALT and ALP were decreased significantly in patients who had taken combination medicine. There were no significant differences between western and combination medicine. Conclusions: This study suggests that prescribed Korean herbal medicine, at least, does not injure liver function for patients', moreover, it was shown to be effective in patients with abnormal liver function tests.

Comparison of Pulmonary Function, Respiratory Muscle Strength, and Diaphragm Thickness between Underweight and Normal Adults

  • Ho-Jeong Shin;Ho-Hee Son
    • 대한물리의학회지
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    • 제18권3호
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    • pp.31-37
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    • 2023
  • PURPOSE: This study aimed to investigate the relationship between being underweight and respiratory function indicators such as pulmonary function, respiratory muscle strength, and diaphragm thickness in normal adults without lung disease. METHODS: The participants in this experiment were thirty young adults. To compare the respiratory function between the underweight and normal weight individuals, 15 participants were selected from each of the underweight and normal weight groups based on body mass index. Respiratory function tests were conducted through pulmonary function tests and respiratory muscle strength tests. Diaphragm thickness was measure with ultrasonography, and physical characteristics were obtained from grip strength and waist circumference. An independent t-test was used to compare the averages of the parameters measured in the two groups. RESULTS: In the respiratory function tests between the two groups, statistically significant differences (p < .05) emerged in the ratio of the predicted forced vital capacity (%FVC), the ratio of the predicted forced expiratory volume in one second (%FEV1), maximal expiratory pressure (MEP), and diaphragm thickness at the functional residual capacity (FRC). There was no statistically significant difference in the forced vital capacity, forced expiratory volume in one second, maximal inspiratory pressure, diaphragm thickness at the total lung capacity, and thickening ratio (p > .05). CONCLUSION: Decreases in some variables of respiratory function, such as the %FVC, %FEV1, MEP, and diaphragm thickness at the FRC were observed in underweight subjects. However, it is difficult to determine whether it affected the overall respiratory function. Future studies are needed to clearly identify the relationship between being underweight and respiratory function.

Three dimensional finite element simulations of fracture tests using the Craft concrete model

  • Jefferson, A.D.;Barr, B.I.G.;Bennett, T.;Hee, S.C.
    • Computers and Concrete
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    • 제1권3호
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    • pp.261-284
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    • 2004
  • Two enhancements to a recently developed plastic-damage-contact model for concrete are presented. The model itself, which uses planes of degradation that can undergo damage and separation but that can regain contact according to a contact law, is described. The first enhancement is a new damage evolution function which provides a completely smooth transition from the undamaged to the damaged state and from pre-peak to post-peak regions. The second is an improved contact function that governs the potential degree of contact with increasing opening on a crack plane. The use of a damage evolution function with a pre-peak has implications for the consistent tangent matrix/stress recovery algorithm developed for the model implementation, and amendments to this algorithm to accommodate the new function are described. A series of unpublished experimental tests on notched specimens undertaken in Cardiff in the mid 1990s are then described. These include notched beam tests as well as prismatic and cylindrical torsion tests. The tests are then considered in three dimensional finite element analyses using the modified Craft model implemented in the finite element program LUSAS. Comparisons between experimental and numerical data show reasonable agreement except that the numerical simulations do not fully describe the latter stages of the softening responses for the torsion examples. Finally, it is concluded that the torsion tests described provide useful benchmark examples for the validation of three-dimensional numerical models for concrete.

지각 장애의 신경 심리학적 기전 (Neuropsychological Mechanism of Perceptual Disorder)

  • 이성훈;박윤조;김동화;박혜정;김지웅
    • 수면정신생리
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    • 제6권2호
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    • pp.143-148
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    • 1999
  • 목 적: 지각 장애가 어떤 뇌의 부위와 기능에 장애가 있을 때 발생되는지를 알아보기 위해 정신과와 뇌손상 환자에서 신경심리 검사와 지각 장애와 관계성을 조사하였다. 방 법: 정신과 환자 69명, 뇌손상 환자 50명, 총 119명에서 Halstead Reitan 신경 심리 검사와 K-WAIS, MMPI를 시행하였다. MMPI 항목 중 지각 장애와 관계되는 9개 항목에서 산출된 점수와 신경심리 검사의 결과와의 상관 관계를 조사하였다. 또 정신과 환자에서 지각 장애 점수가 높은 지각 장애군 21명과 지각 장애가 없는 지각 장애 17명을 t-test로 비교하였다. 결 과: 뇌손상 환자군에서 지각 장애가 전두엽 기능을 보는 범주화 검사, 선로 잇기 검사, 촉각 수행 검사, 손끝 숫자 쓰기 검사와 우측 반구 기능을 보는 촉각 수행 검사의 위치, 동작성 점수, 빠진곳 찾기, 차례 맞추기, 토막 짜기 등과 유의한 상관 관계를 보였다. 또 피질하 기능을 보는 숫자 상징, 산수, 숫자 외우기와 유의한 상관 관계를 보였다. 정신과 환자의 높은 지각 장애군은 우측 반구 편측화 지수와 빠진 곳 찾기, 토막 짜기와 같은 우측 반구 기능에서 유의한 차이가 있었고, 또 이해, 어휘, 공통성과 같은 좌측 반구 기능에서도 유의한 차이가 있었다. 결 론: 지각 장애는 전두엽, 우측 반구, 피질하 구조의 기능과 깊은 연관성을 가지고 발생이 되며, 정신과 환자군에서는 좌측 반구의 기능도 영향을 주는 것으로 생각된다.

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Nonparametric Tests for Monotonicity Properties of Mean Residual Life Function

  • Jeon, Jong-Woo;Park, Dong-Ho
    • Journal of the Korean Statistical Society
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    • 제26권1호
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    • pp.101-116
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    • 1997
  • This is primarily an expository paper that presents several nonparametric procedures for testing exponentiality against certain monotonicity properties of the mean residual life function, tests against the trend change in such function attract a great deal of attention of late in reliability analysis. In this note, we present some of the known testing procedures regarding the behavior of mean residual life function. These tests are also compared in terms of asymptotic relative efficiency and empirical power against a few alternatives. The tests based on incomplete data are also briefly discussed.

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5세 미만의 폐기능 검사 (Lung function tests in preschool children)

  • 박용민
    • Clinical and Experimental Pediatrics
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    • 제50권5호
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    • pp.422-429
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    • 2007
  • Measurement of lung function is an integral component of respiratory physiology and of clinical assessment of lung diseases in school age children and adults. Pulmonary function test of infants and children under the age of 2 years have now been standardised and are being used both in research and as an adjunct to clinical management. By contrast, until recegntly, children of preschool age, i.e. between 2-6 years represented a major challenge for pulmonary function test assessment, this particular period commonly being referred to as the 'dark ages' of Pediatric Pulmonology. Measurement of lung function in preschool-aged children is now feasible. However, much work remains to be done in standardizing how these tests are performed, and in understanding the most appropriate role for the various tests in the study of growth and development of the respiratory system and in the clinical management of children in this age group. As the field develops and the knowledge of respiratory physiology in this age group expands, investigation of different and more appropriate algorithm use in preschool children, together with development of more appropriate reference data, may result in improved disease discrimination.

Recovery Phase Spontaneous Nystagmus, Its Existence and Clinical Implication

  • Lee, Min Young;Son, Hye Ran;Rah, Yoon Chan;Jung, Jae Yun;Suh, Myung-Whan
    • Journal of Audiology & Otology
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    • 제23권1호
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    • pp.33-38
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    • 2019
  • Background and Objectives: Determination of the lesion side based on the direction of the nystagmus could result in confusions to the clinicians due to mismatch between the vestibular function tests and also between vestibular and audiologic features. To minimize these mistakes, we elucidated the clinical manifestation and vestibular function test results in cases with recovery spontaneous nystagmus (rSN). Subjects and Methods: Patients who visited ENT clinic of tertiary referral hospital for acute onset continuous vertigo from January 2008 to December 2011 were enrolled. In these patients, we assessed onset time of vertigo, time point of paralytic spontaneous nystagmus (SN) and time point of rSN. At each time point of SN, vestibular function tests and hearing function tests were performed. Results: We confirmed the rSN among patients with unilateral vestibulopathy and demonstrated that high gain of the rotatory chair test (slow harmonic acceleration) and/or mismatch of the SN direction and contralateral caloric weakness could indicate the recovery state of patients and nystagmus observed in this stage is recovery phase nystagmus. Conclusions: In acute vestibulopathy patients, recovery phase nystagmus was observed and on this stage of disease vestibular function tests shows several features that could predict recovery state.