• Title/Summary/Keyword: Rheumatism

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An Analysis of Trends in Nursing Research Utilizing Experimental Designs (류마티스 건강학회지 창간호부터 10년간의 실험연구 분석을 통한 연구 경향 분석)

  • Park, Kyung-Sook;Choi, Eun-Hee;Hwang, Yun-Young;Ahn, Yang-Heui;Chung, Hae-Kyung;Paik, Hoon-Jung;Ryoo, Eon-Na;Lee, Eun-Ok
    • Journal of muscle and joint health
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    • v.11 no.2
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    • pp.136-152
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    • 2004
  • Purpose: The purpose of this study was to summarize trends and status of nursing research utilizing experimental designs in the Journal of Rheumatology Health over the past 10 years. Method: The Journal of Rheumatology Health published 37 experimental research articles between 1994 and 2004. These articles were included in a retrospective descriptive analysis. A checklist was utilized for data collection. Results: Qoasi-experimental researches were more frequent than pre-experimental research, but there were 8 research studies which had no hypothesis. The most frequently used nursing interventions were exercise/movement, and cognitive, followed by sensitive, and social interventions. There were very few research studies that used random assignment for internal validity. The rate of effectiveness of self-help interventions was lower than socio-psychological, cognitive, or motor-physical interventions. There was no research regarding families of patients with rheumatoid disease. Conclusion: Rigorous experimental research design is needed for internal and external validity in future research. Generalizing the effects of nursing interventions that are the results of rigorous experimental designs will contribute to promote the quality of life of patients with rheumatism and their families.

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The Analysis on Published Research in the Journal of Muscle and Joint Health (근관절건강학회지 게재 논문 분석 - 창간호부터 2007년까지 -)

  • Lim, Nan-Young;Kim, Jong-Im;Lee, Eun-Nam;Lee, Kyung-Sook;Lee, In-Ok;Cho, Kyung-Sook;Bak, Won-Sook;Lee, Yoon-Kyoung;Kang, Hyun-Sook;Kim, Keum-Soon;Chon, Mi-Young
    • Journal of muscle and joint health
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    • v.17 no.1
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    • pp.79-88
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    • 2010
  • Purpose: The purpose of this study was to analyze the published research in the Journal of Muscle and Joint Health and to suggest the future perspectives. Methods: In this study, we reviewed the contents of 195 articles published in this journal from the first issue of the year 1994 to 2007. Results: The majority of subjects were adult, mostly with arthritis. The position of the authors was mostly professor (73.3%). Most of studies did not clearly describe about ethical consideration. The data collection was mostly conducted in the hospital (53.8%) or community (36.9%), with the questionnaire (62.6%). The types of research design were correlational study (36.4%), experimental study (31.8%), survey (18.5%), and qualitative research (4.6%). Physical variables included pain, fatigue, activities of daily living, joint flexibility, muscle strength, etc., psychosocial variables were measured by self-efficacy, depression, quality of life, etc., and cognitive variables by knowledge, education, etc. The most utilized nursing intervention for experimental study were exercise, self-help, and education. Conclusion: Further research is needed to extend the target population research design from multidisciplinary perspectives.

Bitter Melon (Momordica charantia) Extract Enhances Exercise Capacity in Mouse Model (여주(Momordica charantia) 추출물이 생쥐의 지구력 운동수행능력 향상 효과에 미치는 영향)

  • Kim, Inbo;Park, Choon-Ho;Jung, Hoe-Yune;Jeong, Juseong;Hong, Hwan-Ung;Kim, Jong Bae
    • The Korean Journal of Food And Nutrition
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    • v.29 no.4
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    • pp.506-512
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    • 2016
  • Bitter melon (Momordica charantia) is used in traditional herbal medicine in many Asian countries for the treatment of several diseases such as diabetes, eczema, night blindness, psoriasis, and rheumatism. Especially, most reports concerning the biological activities of bitter melon have focused on its effects on diabetes and hyperglycemia. Also, bitter melon is regarded as a longevity food, suggesting that it has several beneficial effects on anti-aging and the maintenance of a healthy state. Thus, we investigated whether bitter melon could increase the capacity of exercise in this study. Interestingly, bitter melon fruit extract activated AMP-activated protein kinase (AMPK), which is important for regulating glucose homeostasis, mitochondrial content and exercise capacity. In addition, bitter melon extract increased the expression of enzymes involved in fatty acid oxidation such as mitochondrial uncoupling protein 3 (UCP3), carnitine palmitoyl transferase 1b (CPT1b), and pyruvate dehydrogenase lipoamide kinase isozyme 4 (PDK4). Moreover, exercise tolerance was much more enhanced in bitter melon treated animals compared to the non-treated control group. These results suggest that bitter melon is a promising candidate for the development of functional foods beneficial for physical strength and the enhancement of exercise capacity.

Effect of Betula schmidtii Regel on Blood Pressure (한국산 생약제들의 혈압강하작용에 대한 연구(III) -박달수피의 혈압에 대한 작용-)

  • Lee, Jong-Wha;Kim, In-Soon;Kim, Ock-Yo;Cho, Byung-Hyun;Cho, Kyu-Chul
    • Korean Journal of Pharmacognosy
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    • v.10 no.3
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    • pp.125-135
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    • 1979
  • This study was undertaken to search for a new antihypertensive or hypotensive agents in natural crude products in Korea. Betula schmidtii Regel, a tree belonging to the Betulaceae family, is cultivated for the most part of our country, and their cortecies or tree milk has been used as folk remedy, which exerted good antiinflammatory effect on rheumatic fever, arthritis or rheumatism. The rats were treated with several extracts from Betula schmidtii Regel, that is, extracts of water, methanol from inner cortecies, extracts of ether, methanol, hexane, chloroform or butanol from outer and total cortecies. In this experiment, we measured the blood pressure and heart rate in anesthetized rats, and atropine, diphenhydramine, phentolamine, propranolol, epinephrine, hexamethonium and hydralazine were pretreated prior to Betula extracts to clarify the mechanism of the hypotensive action. The results of the experiment were as follows; 1. BOIE(Betula outer cortex water-insoluble extract) and BICE(Betula inner cortex chloroform extract) elevated the blood pressure and heart rate. 2. BIME(Betula inner cortex methanol extract), BIBE(Betula inner cortex butanol extract) and BIWE (Betula inner cortex water extract) significantly lowered the blood pressure and heart rate. 3. With the pretreatment of hydralazine, the hypotensive effect of Betula schmidtii Regel was significantly blocked. From the above results, it is suggested that the hypotensive effect of Betula schmidtii Regel is due to the direct vasodilation of blood vessel.

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Hexane Extract of Kaempferia galanga L. Suppresses Melanogenesis via p38, JNK and Akt

  • In, Myung-Hee;Jeon, Byoung Kook;Mun, Yeun-Ja;Woo, Won-Hong
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.30 no.1
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    • pp.47-53
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    • 2016
  • Kaempferia galanga L. is one of the plants in Zingiberaceae family. It is used by people in many regions of Asia and Africa for relieving toothache, abdominal pain, muscular swelling and rheumatism. Tyrosinase is a key enzyme for melanogenesis, and hyperpigmentation is associated with abnomal accumulation of melanin pigment. This study aimed to investigate the inhibition of melanogenesis by hexane extract of Kaempferia galanga L. (HKG) in B16F10 melanoma cells. Cell-free tyrosinase, melanin contents, intracellular tyrosinase activity and western blot analysis were performed to elucidate the effects on anti-melanogenesis. Cytotoxicity of the extracts was measured using 3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide (MTT) assay and determined the concentration of 12.5, 25 μg/ml. HKG significantly inhibited to activities of intracellular tyrosinase and melanin synthesis in the absence or presence of α-melanocyte stimulating hormone (α-MSH) with dose-dependent manner. And HKG inhibited the expression of tyrosinase, tyrosinase-related protein 1 (TRP-1) and tyrosinase-related protein 2 (TRP-2), regardless of the presence or absence of α-MSH. HKG also down-regulated phosphorylation of p38 and JNK, and up-regulated phosphorylation of Akt. These effects were not related to its cytotoxicity action. These results indicate that HKG has the potential to be a useful therapeutic agent for treating hyperpigmentation disorders and as a beneficial additive in whitening agents in cosmetics industry.

Effect of Job's Tear(Yul-Moo) Extracts on Mouse Spleen and $IL-1{\beta},\;IL-6,\;TNF-{\alpha}$ Cytokine Production by Peritoneal Macrophages (4주 동안의 율무 추출물 투여가 사이토카인 $IL-1{\beta},\;IL-6,\;TNF-{\alpha}$ 생성과 비장세포 증식에 미치는 영향)

  • Ryu Hye-Sook;Kim Hyun-Sook
    • The Korean Journal of Food And Nutrition
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    • v.19 no.2
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    • pp.201-206
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    • 2006
  • Numerous investigators have studied various activities of natural products and have found that they have not only nutritional effects, but also beneficial properties to cure various diseases and to maintain good health. Job's Tear(Yul-Moo) is a grass crop that has long been used in traditional medicine and as a nourishing food. Although its mechanism of action remains unclear, Job's Tear has been reported to exhibit anti-inflammatory, stomachic, anti-allergic, and anti-spastic effects and has been used in China for the treatment of warts, rheumatism, and neuralgia. Previous results in our laboratory demonstrated that the ethanol extract and the water extract of Job's Tear exerted an immune regulatory function on mice cells in vitro. The present study was performed to investigate the ex vivo effect of Job's Tear on immune function. Seven to eight weeks old mice(Balb/c) were fed chow diet ad libitum and water extract of Job's Tear was administered orally every other day for four weeks at two different concentrations(50 and 500mg/kg B.W.). Splenocytes proliferation with mitogen stimulation with Con A and LPS was enhanced at 50 mg/kg B.W. of Job's Tear compared to those of the control group. The results of this ex vivo study showed that proliferation of splenocytes and macrophage activation were seen in the mice orally administrated 50 mg/kg B.W. of Job's Tear water extracts. In conclusion, this study suggests that Job's Tear extracts may enhance immune function by regulating splenocyte proliferation and the cytokine prodution capacity of activated macrophages in mice.

A Comparison Study on Fatigue and Pain in Rheumatoid Patients - centered on AS, FM, and SLE patients (류마티스 질환자의 피로와 통증 비교연구 -강직성척추염, 섬유조직염, 루프스환자를 중심으로-)

  • Yi, Yeo Jin;Lim, Nan Young;Lee, Eun Young
    • Korean Journal of Adult Nursing
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    • v.12 no.4
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    • pp.560-572
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    • 2000
  • This study was designed to offer descriptive data for nursing intervention for relief of fatigue and pain, and to distinguish by the characteristic difference and the symptoms such as fatigue and pain on Ankylosing Spondylitis (AS), Fibromyalgia(FM), and Systemic Lupus Erythematosus(SLE) patients. The sample consisted of 92 patients(AS 29; FM 30; SLE 33) who visited H-University Rheumatism Hospital in Seoul. The data were collected by a structured questionnaire from May 1, 1999 to April 30, 2000. The results were as follows: Patients of 95% experienced fatigue in the last week and a fatigue score of three disease groups were above average. The fatigue score of FM patients was highest in the other disease, but which was not a statistically significant difference(F=1.417, p=.248). The mean score of AS and FM patients in pain was higher than the SLE patients, and there was the statistical significance among the three groups on pain (F=8.239, p=.001). There wasn't a statistical difference among three groups on coping wtih pain(F=1.451, p=.240). There wasn't any correlation between fatigue and pain in each disease (AS: r=.008, p=.966; FM: r=.328, p=.077; SLE: r=.237,p=.185). Therefore, morning stiffness and pain management during sleeping is needed through good body alignment in the AS patients. Adequate rest for fatigue and multiple coping strategies for pain maybe basic nursing intervention in FM and SLE. According to their fatigue rhythm, a regular exercise program is needed for rheumatic disease because they complained of fatigue above average and their fatigue was repeated better and worse only during the one week.

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Development of Clinical Pathway and Analysis of Clinical Patterns for Optimizing the Integrative Medical Service (양.한방 협진 의료서비스 최적화를 위한 Clinical Pathway 도입과 진료패턴 분석)

  • Oh, Ka-Eun;Bak, Won-Sook;Yang, Hyung-In;Han, Sang-Sook;Yoo, Myung-Chul;Park, Sang-Chan;Lee, Sang-Chul
    • The Journal of the Society of Korean Medicine Diagnostics
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    • v.16 no.2
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    • pp.23-32
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    • 2012
  • Objectives : The purpose of this research is to develop the clinical pathway for optimizing the integrative medical service (oriental-western integrated medical service) and to analyze the clinical pattern of the integrative patients who received the oriental-western integrated medical service. Methods : This research developed the clinical pathway by interviewing with doctors, nursing and experts at K Medical Center. To analyze the clinical patterns, this research used 860 integrative patients and 6345 non-integrative patients at K Medical Center since 2007. Results and Conclusions : 1. We developed the clinical pathway for optimizing the integrative medical service. 2. Comparing the clinical pattern of the integrative patients with the non-integrative patients, the results indicated that the interval and frequency of the integrative patients is shorter than that of the non-integrative patients. 3. Comparing the medical treatment type, the integrated patients take much more medical care and more frequently participate in medical treatment. 4. In conclusion, it is different that the clinical pathway of the integrative medical service from the non-integrative medical service and the integrative medical treatment is more effective than the non-integrative medical treatment.

Hypouricemic and xanthine oxidase inhibitory activities of the fractions of Coccinia grandis L. Voigt

  • Umamaheswari, M;Chatterjee, TK
    • Advances in Traditional Medicine
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    • v.7 no.5
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    • pp.477-484
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    • 2008
  • The present study was aimed at investigating the hypouricemic and xanthine oxidase inhibitory activities of the various fractions of the hydromethanolic extract of the leaves of Coccinia grandis L. Voigt (Cucurbitaceae). The leaves of this species was used in traditional medicinal system for the treatment of gout, rheumatism, jaundice, bronchitis, fever, skin eruptions, wounds, etc. The degree of xanthine oxidase inhibition was determined in vitro by measuring the increase in absorbance at 295 nm associated with uric acid formation. Among the fractions tested, the chloroform fraction exhibited highest potency ($IC_{50}$ $17.8\;{\mu}g/ml$). This was followed by the pet-ether ($IC_{50}$ $29.7\;{\mu}g/ml$), ethyl acetate ($IC_{50}$ $41.2\;{\mu}g/ml$) and residual ($IC_{50}$ $47\;{\mu}g/ml$) fractions. The $IC_{50}$ value of allopurinol was $6.1\;{\mu}g/ml$. In addition, the hypouricemic and hepatic xanthine oxidase (XO)/xanthine dehydrogenase (XDH) inhibitory activities of the fractions were examined in vivo using oxonate (280 mg/kg, i.p.) induced hyperuricemic mice. At a dose of 200 mg/kg orally for 7 days, the pet-ether, chloroform and ethyl acetate fractions produced a significant (P < 0.01) reduction in serum urate level and also inhibited hepatic XO/XDH activities when compared to hyperuricemic mice. These inhibitory effects were weaker than that observed for the standard drug, allopurinol (10 mg/kg, p.o.). Lineweaver-Burk analysis of the enzyme kinetics indicated that the mode of inhibition was of a mixed type. These results suggest that the use of Coccinia grandis leaves for the treatment of gout could be attributed to its XO inhibitory activity.

A Study on Dietary Behaviors, Health-Related Lifestyle of Adult Visitors at Public Health Centers in Gyeonggi Urban Area (경기 도시 지역 보건소 성인 방문자의 식생활과 건강 관련 라이프스타일 조사)

  • Kwon, Jong-Sook;Kim, Kyungmin;Seo, Hyun-Chang;Lee, Yoonna;Lim, Seunggeon;Choi, Young-Sug
    • Korean Journal of Community Nutrition
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    • v.18 no.6
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    • pp.611-625
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    • 2013
  • The purpose of this study was to investigate dietary behaviors and health-related lifestyles of adult visitors at a public health center in Gyeonggi urban area. A survey using questionnaire was conducted with 949 visitors at Seongnam public health centers from June to August, 2012. The data from 905 respondents were analyzed by gender, consisting of 322 males and 583 females, and age group, consisting of 243 low-age group (LA), 312 middle-age group (MA), 350 high-age group (HA), aged 20 to 30 years, 31 to 50 years, and 51 to 69 years, respectively. Average Body Mass Index was 23.0, which increased with age, and education level was high in LA. 59.0 percent of the subjects had various diseases, and the incidence of hypertension was the highest, followed by allergy, hyperlipidemia, diabetes mellitus, joint rheumatism. Incidence rates of chronic disease increased with age, which were lower than those from 2011 Korea National Health and Nutrition Examination Survey (KNHANES). Weekly drinking frequency rate and smoking rate decreased with age, and exercise performing rate was high at male and HA, which showed the same tendency as KNHANES. Female and HA showed more healthy dietary behaviors such as restricting salt, sugar, oily foods, foods containing food additives, calorie, caring for balanced diet, and referring to nutrition label. Subjects chose stress as the first factor, followed by diet, exercise, etc., among 13 suggested factors which strongly influence on human's life-span. In general, public health center visitors, especially female and HA, showed better dietary behaviors and health-related lifestyles compared with KNHANES.