• 제목/요약/키워드: Physiologic function

검색결과 114건 처리시간 0.025초

가정 호흡재활 프로그램 관련 연구 논문 분석 (The Analysis of Research on the Home-Based Pulmonary Rehabilitation Program)

  • 오의금;김소희;김순희;박희옥;이춘화
    • 성인간호학회지
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    • 제14권3호
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    • pp.368-377
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    • 2002
  • Purpose: The purpose of this study was to analyze the trend of research on the use of home-based pulmonary rehabilitation. Method: Using Medline and CINAHL search engine, experiemental research, titled as 'home-based pulmonary rehabilitation' and 'chronic lung disease', statistics were collected. The total 29 experimental studies published between 1981 to 2000 were selected and analyzed according to the ATS guidelines. Result: 1) The study samples in research were mostly of men, whose lung function was moderate to severe. 2) The total period of the intervention program varied from 5 to 12 week. The program included excercise intervention and educational intervention. Psychosocial intervention was minimal. 3) The outcome of the home-based pulmonary rehabilitation had been measured mostly by physical aspects. Quality of life and cost were less frequently measured. 4) In terms of effectiveness of the home based pulmonary rehabilitation program, physiologic outcome, such as lung function and hematologic markers, there was more 'no effect' than 'positive effect', whereas there was more 'positive effect' in decreasing dyspnea, improving excercise capacity, and improving quality of life. Conclusion: Based on these findings, future research on home-based pulmonary rehabilitation should be emphasized and provide standardized protocol, including psychosocial intervention, and analyses on cost and quality of life.

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개에서 피부세정제 적용빈도가 정상피부에 미치는 영향 (Functional Assessment of Frequency of a Commercial Shampoo for Normal Canine Skin)

  • 유종원;신희주;배슬기;최성원;오태호
    • 한국임상수의학회지
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    • 제30권4호
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    • pp.283-287
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    • 2013
  • Canine skin is a highly dynamic organ that is constantly adapted to changes in its environment. It provides structural, sensory, immunologic, and physiologic functions and contributes an essential barrier function against potential environmental insults. We assessed the changes of canine skin hydration, pH, and protein contents by noninvasive method according to the frequency of application with canine commercial shampoo. Canine commercial shampoo was applied topically every other day, 5 days, and 8 days on different sites, respectively in 8 dogs. Saline-applied site was as a control. Skin hydration was increased and skin surface pH was decreased significantly in canine commercial shampoo-applied site every other day (p < 0.05). Also, skin protein concentration measured by D-squame$^{(R)}$ tape stripping method was increased significantly in canine commercial shampoo-applied site every other day (p < 0.05). There were alterations on every 5 days and 8 days, but not significantly. These results may be recognized that the frequent use of canine commercial shampoo cause abnormalities of the skin barrier function and alteration of stratum corneum integrity/cohesion. Consequently it was suggested that bathing the dog with canine commercial shampoo was appropriate every 5 or 8 days.

원인불명의 극심한 식욕부진(食慾不振)을 호소한 고령 환자 치험례 (Case of an Old-Age Patient with Ill-defined Severe Anorexia)

  • 정기용;하유군;백종우;최유경;김동우;박종형;전찬용
    • 동의생리병리학회지
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    • 제22권1호
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    • pp.256-261
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    • 2008
  • Anorexia is a common symptom in the elderly patients. Causes of anorexia in the elderly are very diverse and multifactorial. Causes include physiological changes associated with aging, mental disorders such as depression, anorexia tardive, dementia, medical diseases such as cancer(lung and gastrointestinal cancer), benign gastrointestinal disorders, cardiac disorders, pulmonary disease, thyroid disorders, infection. Medications such as digoxin, theophylline have also been implicated in the problem. No cause is found in about one quarter of patients. Management is directing at treating causes and providing nutritional support. In Oriental medicine, the appetite has close relation to Biwi. The main cause of anorexia is the insufficiency of Biwi. The physiology of Biwi is that Bi sends clarity(food essence) upward and Wi sends digested food downward. Specially if the physiologic function of Wi is disordered by various factors, Wi cannot send digested food downward. As a result, the anorexia can present by the disorder of Wi function. We experienced a case of an 74 years old female patient with ill-defined severe anorexia differentiated as Wijoongheohan. The patient was managed with fluid therapy and Jeonghyangsiche-tang. The anorexia and other symptoms improved continuously during hospitalization.

무치악치조제의 개선을 통한 보철치료 (Prosthetic treatment with correcting edentulous maxillomandibular relation)

  • 이예규;허윤혁;박찬진;조리라
    • 구강회복응용과학지
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    • 제30권4호
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    • pp.339-349
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    • 2014
  • 상악과 하악의 크기부조화가 있거나 악간관계가 불안정한 환자의 치료목적은 안정적인 교합접촉을 부여하는 것이다. 중등도의 정신지체 환자로 부족한 수직고경, 수평적 악골관계 부조화, 광범위한 치질소실로 인하여 보철치료가 필요하였다. 두부계측학적 평균치를 기준으로 악골위치를 판별하고, 연조직 측모분석 후 수평 골삭제량을 결정하였다. 수술 부위의 안정적인 치유 및 설정된 상하악관계에 대한 의치 적응여부를 평가하였다. 만족할만한 심미성과 안정적 교합상태를 얻었으나, 추가적인 교합변화의 가능성을 고려한 정기적인 관리가 필요할 것으로 사료된다.

심한 치아 마모 및 파절 환자의 수직고경거상을 동반한 전악 수복 증례 (Full mouth rehabilitation on the patient with severe tooth wear and tooth fracture using reestabilishment of occlusal vertical dimension)

  • 이호선;주세진;진수윤;강동완;이경제
    • 구강회복응용과학지
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    • 제32권3호
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    • pp.224-231
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    • 2016
  • 과도한 치아의 마모는 치아의 병적 변화, 교합 불균형, 기능 및 심미적 문제를 일으키며 악관절과 근육의 문제를 일으킬 수 있는 수직고경의 감소를 야기할 수도 있다. 수직고경의 감소가 발생한 경우, 전악보철수복을 통해 수직고경을 회복시켜 주기 위해서는 정확한 진단이 중요하다. 본 증례는 59세 남성으로 전반적인 치아의 마모와 파절로 인한 수직고경의 감소 및 비심미성을 해결하기 위해 전악 지르코니아 보철 수복을 시행하였다. 생리적 안정위, 견치간 거리 등을 분석하여 수직고경을 3 mm 거상하기로 하였고 전악 왁스업 후 임시치관을 제작하여 6개월동안 사용한 뒤 이를 이용하여 지르코니아 최종 보철을 완성하였다. 1년 6개월 경과 관찰하여 만족스러운 결과를 얻었기에 보고하는 바이다.

ROLE OF REACTIVE OXYGEN SPECIES IN MALE INFERTILITY

  • Sharma, Rakesh K.;Agarwal, Ashok
    • 대한생식의학회:학술대회논문집
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    • 대한불임학회 2000년도 제39차 춘계 학술대회
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    • pp.13-28
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    • 2000
  • Human spermatozoa exhibit a capacity to generate ROS and initiate peroxidation of the unsaturated fatty acids in the sperm plasma membrane, which plays a key role in the etiology of male infertility. The short half-life and limited diffusion of these molecules is consistent with their physiologic role in key biological events such as acrosome reaction and hyperactivation. The intrinsic reactivity of these metabolites in peroxidative damage induced by ROS, particularly $H_2O_2$ and the superoxide anion, has been proposed as a major cause of defective sperm function in cases of male infertility. The number of antioxidants known to attack different stages of peroxidative damage is growing, and it will be of interest to compare alpha-tocopherol and ascorbic acid with these for their therapeutic potential in vitro and in vivo. Both spermatozoa and leukocytes generate ROS, although leukocytes produce much higher levels. The clinical significance of leukocyte presence in semen is controversial. Seminal plasma confers some protection against ROS damage because it contains enzymes that scavenge ROS, such as catalase and superoxide dismutase. A variety of defense mechanisms comprising a number of antioxidants can be employed to reduce or overcome oxidative stress caused by excessive ROS. Determination of male infertility etiology is important, as it will help us develop effective therapies to overcome excessive ROS generation. ROS can have both beneficial and detrimental effects on the spermatozoa and the balancing between the amounts of ROS produced and the amounts scavenged at any moment will determine whether a given sperm function will be promoted or jeopardized. Accurate assessment of ROS levels and, subsequently, OS is Vital, as this will help clinicians both elucidate the fertility status and identify the subgroups of patients that respond or do not respond to these therapeutic strategies. The overt commercial claims of antioxidant benefits and supplements for fertility purposes must be cautiously looked into, until proper multicentered clinical trials are studied. From the current data it appears that no Single adjuvant will be able to enhance the fertilizing capacity of sperm in infertile men, and a combination of the possible strategies that are not toxic at the dosage used would be a feasible approach.

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방사성(放射性) 옥소(沃素) 피내(皮內) 주사(注射)에 의(依)한 갑상선(甲狀腺) 기능검사(機能檢査)에 관(關)한 연구(硏究) (Studies of Thyroid Function Test Using Radioiodine by Intradermal Injection)

  • 김동수
    • 대한핵의학회지
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    • 제6권1호
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    • pp.41-49
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    • 1972
  • The author observed the thyroid $^{131}I$ uptake rate using an intradermal injection method. The amount of activity remaining at the site of intradermal injection of 0.1 ml. of $5{\mu}Ci.\;of\;^{131}I$ in physiologic saline was measured in 79 cases of hyperthyroidism and in 24 cases of hypothyroidism. The cases had been confirmed by clinical and laboratory findings, at the department of medicine, (radioisotope clinic) Pusan National University Hospital. Twenty-nine normal control cases were examined currently by the same technique during the period from Jan. 1967 to June 1970. The following results were obtained: 1. In the normal group, the ranges and mean values of the thyroid uptake 10, 15, 20, 25, 30 and 60 minutes after intradermal $^{131}I$ injection, were $0{\sim}10%(6.33{\pm}1.63),\;0{\sim}15%(7.83{\pm}2.12),\;0{\sim}15%(8.46{\pm}2.82),\;5.1{\sim}20%(9.66{\pm}2.27),\;5.1{\sim}25%(10.47{\pm}2.52),\;5.1{\sim}30%(13.03{\pm}4.42)$. 2. In the hyperthyroid group, the ranges and mean values of the thyroid uptake 10, 15, 20, 25, 30 and 60 minutes after intradermal $^{131}I$ injection were $5.1{\sim}45%(22.25{\pm}7.04),\;10.1{\sim}50%(28.32{\pm}6.67),\;15.1{\sim}55%(34.78{\pm}11.63),\;15.1{\sim}65%(37.95{\pm}7.72),\;20.1{\sim}65%(41.49{\pm}0.05)\;and\;20.18096(48.71{\pm}12.51)$. 3. In the hypothyroid group, he ranges of thyroid $^{131}I$ uptake by intradermal $^{131}I$ injection at 10, 15, 20, 25, 30 and 60 minutes lay between 0 and 10%, and the the mean values were $4.23{\pm}1.76,\;5.08{\pm}1.68,\;5.56{\pm}1.70,\;6.02{\pm}1.75,\;6.37{\pm}1.91\;and\;6.95{\pm}2.07$. 4. In conclusion, thyroid function test using an intradermal injection method in cases of hyperthyroidism, showed characteristic values which seemed to be of diagnostic significance.

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만성 폐쇄성 폐질환에서 기관의 단면적과 폐기능지표와의 상관관계 (Correlation of Tracheal Cross-sectional Area with Parameters of Pulmonary Function in COPD)

  • 이찬주;이재호;송재우;유철규;김영환;한성구;심영수;정희순
    • Tuberculosis and Respiratory Diseases
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    • 제46권5호
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    • pp.628-635
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    • 1999
  • 연구배경 : 만성 폐쇄성 폐질환을 대변하는 폐기종에서 주요 기능적 장애는 호기의 장애이며, 최대 호기류량은 기도의 크기, 폐의 탄력반동압 그리고 기도의 함몰성에 의해 결정된다. 기도의 항몰성은 폐기종에서 기류를 제한하는 하나의 기전으로 작용하지만, 폐용적과 폐의 과팽창을 유지하는 기전으로 작용하여 가스교환을 증진시킨다는 주장도 있다. 따라서 폐기종에서 기관이 호흡에 미치는 생리학적 역할이 무엇인지를 알아보고자 본 연구를 수행하였다. 방 법 : 1997년 1월 1일부터 8월 31일까지 보라매병원 호흡기내과를 방문하여 단순 흉부방사선검사, 체간용적기록계(body plethysmography)를 포함하는 폐기능검사 및 HRCT를 통해 폐기종으로 진단된 20명을 대상으로 하였다. HRCT에서 대동맥궁의 정상부위에서 기관의 단면적을 호흡주기에 따라 측정하고 이를 체표면적으로 보정한 값과 동맥혈의 이산화탄소분압 및 산소분압, 기도저항, 폐유순도 등 폐기능지표와의 상관 관계를 분석하였다. 결 과 : 폐기종에서 기관의 단면적은 호기시 동맥혈의 이산화탄소분압(r=-0.61, p<0.05) 및 산소분압(r=0.6, p<0.05) 그리고 매분환기량(r=0.73, p<0.05)과 유의한 상관관계가 있었지만, 흡기시에는 상관관계가 없었다(이산화탄소분압과는 r=-0.22, p>0.05, 산소분압과는 r=0.26, p>0.05, 매분환기량과는 r=0.44, p>0.05). 매분환기량은 상시호흡량(tidal volume)과는 r=0.45(p<0.05)로 유의한 상관관계가 있었지만, 호흡수와는 r=-0.31(p>0.05)로 상관관계가 없었다. 폐기종에서 기관의 단면적은 호흡주기와 상관없이 $FEV_1$ FVC, $FEV_1$/FEC, 최대 호기류량, 잔기용적, 폐확산능, 기도저항, 폐유순도 등의 다른 폐기능지표와는 상관관계가 없었다. 결 론 : 폐기종에서 호기시 기관의 단면적은 주로 가스 교환(gas exchange)의 지표들과 유의한 상관관계가 있었지만, 폐용적이나 폐의 과팽창을 시사하는 지표와는 상관관계가 없었다. 따라서 폐기종에서는 호기시 동일 압력점의 개념에 의해 발생하는 기도압박으로 기관의 단면적이 감소하고 이러한 현상이 기류를 제한하는 하나의 기전으로 작용하는 것이지 폐용적이나 폐의 과팽창을 유지시켜 가스교환을 증진시키는 것은 아니라고 생각된다.

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하악 임플란트에 대합되는 상악 구치의 주변골 변화에 대한 임상연구 (Bone changes around the maxillary posterior teeth opposing the implants in mandible: a clinical study)

  • 박찬진;허윤혁;조리라
    • 구강회복응용과학지
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    • 제31권4호
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    • pp.301-309
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    • 2015
  • 목적: 무치악 부위를 임플란트 보철로 수복하면 기능저하 상태였던 대합치는 생리적인 자극을 받게 된다. 본 연구는 하악 구치부 임플란트에 대합되는 상악치아의 골변화를 평가하였다. 연구 재료 및 방법: 보철물 장착시(기준점) 및 3, 6개월 후에 방사선 사진을 채득하였다. 맞춤형 필름유지기구를 제작하여 대합치의 연속적인 방사선 사진에 대한 투사를 표준화하였다. 디지털사진에서 관심부위에 대한 그레이수치를 시간별로 측정하여 95% 유의수준으로 반복측정분산분석으로 통계적 유의성을 검증하였다. 결과: 대합치의 그레이수치는 시간이 흐름에 따라 증가하였다. 치조정부위보다 중앙부위의 변화가 더 컸으나 근심과 원심의 그레이수치는 큰 차이를 나타내지 않았다. 그레이수치의 변화는 하중을 가하지 않았던 기간에 따라 다른 양상을 나타내었다. 결론: 기능저하였던 치아주변의 골조직에 기능적 하중이 가해지면 골조직의 변화가 발생할 수 있는 것으로 사료된다.

스트레스와 면역반응에 대한 국내 논문분석 (Analysis of the Researches on Stress and Immune Responses)

  • 채영란;김금순;최명애;안경애;김명애;서순림;홍해숙;정재심;박금화;이성희
    • Journal of Korean Biological Nursing Science
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    • 제4권2호
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    • pp.79-92
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    • 2002
  • This study was aimed to analyze the variables measuring stress and immune responses, to identify the relationship between stress and immune responses, and to find out the effect of nursing interventions associated with stress and immune responses by reviewing thirty-four published articles since 1970 in Korea. The articles were selected in the field of nursing, stress management, and masters or doctoral dissertations and limited to human subject. Among these, the thirty-one articles were published since 1996 and mainly distributed in nursing (44.1%) and medicine(44.1%). The prevailing research design was nonequivalent control pre-post experimental design(41.1%). The research subjects were 55.9% for patients and 44.1% for healthy general persons including 20.6% of university students. To evaluate stress, both physiologic and psychosocial measures were adapted together in 35.3% of the articles. The most frequent two variables measuring stress and immune response were cortisol level(15.9%) and number or activity of natural killer cell(25.9%). The relation between stress and immune responses was positive in 4 articles, negative in 9 cases, and none in 12 cases. Decreased stress and enhanced immune function have been found when massage, abdominal breathing, exercise, relaxation, and touch were provided as nursing interventions. The articles to investigate the relationship between stress and immune function were limited and the tested variables were diverse. Also there was no consistent evidence to correlate the stress and immune function at present. Further studies are needed to construct a valid research design and to investigate the relationship between stress and immune responses. Nursing interventions to decrease stress should be developed to result in the increased immune function and the effect of these interventions would be verified.

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