• 제목/요약/키워드: Secondary Disease

검색결과 901건 처리시간 0.024초

외족장신경 제1분지의 신경초종에 의해 발생된 족장터널증후군 (Tarsal Tunnel Syndrome secondary to the Neurilemoma of first branch of the Lateral Plantar Nerve)

  • 이경태;탁상보
    • 대한족부족관절학회지
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    • 제2권1호
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    • pp.52-55
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    • 1998
  • Tarsal tunnel syndrome is a complex of symptoms resulting from the compression of the posterior tibial nerve or its branches, Many disease have been previously reported in the literatures as etiological agents in tarsal tunnel syndrome. We reported a case of tarsal tunnel syndrome secondary to neurilemoma of the first branch of lateral plantar nerve. The symptoms were similar with the entrapment syndrome of the first branch of the lateral plantar nerve. Symptoms were completely relieved after operation.

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보험자가 질병예방차원에서 실시하는 건강교육 개선방안 (Health Education for Disease-Prevention by the Insurer)

  • 유승흠;노지영;이해종;이명선;정상혁
    • 보건교육건강증진학회지
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    • 제6권1호
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    • pp.11-21
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    • 1989
  • Among disease prevention methods, health education is an excellent and effective method low cost. However, enforcing health education has the following limitations: there is little health education for the supported, health education disregards the characteristics of those educated, education materials are not specified and published satistactorily, and so on. This study suggests systemic health education planning to the Korea Medical Insurance Corporation. The special methods are as follows: 1. Health education for primary prevention a. We educate the insured who are judged to be normal by the results of health screening, dividing them into three groups:completely healthy status, emotionally disturbed status, and early pathologic status. b. We educate the insured characteristically according to occupational disease. c. In an advanced sense, we educate the insured according to their health condition and occupational status. 2. Health education for secondary and tertiary prevention We educate the insured who are judged to be inn a risk group or to be disease group according to the results of health screening. a. Health education for the risk group By health education on elimination of the risk factors, the risk group can be prevented from the disease. b. Health education for the disease group By health education on the therapeutic process and the method of rehabilitation, the disease group can return to the previous state. We conclude that: 1). Reimbursement for preventive activities{health interview, health education) must be realized. 2) A special organization for health education must be established. 3) All of the insured must be educated and managed during their lifetime by a new special organization.

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Characterization of Venous Involvement in Vasculo-Behçet Disease

  • Lee, Na Hyeon;Bae, Miju;Jin, Moran;Chung, Sung Woon;Lee, Chung Won;Jeon, Chang Ho
    • Journal of Chest Surgery
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    • 제53권6호
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    • pp.381-386
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    • 2020
  • Background: Behçet disease is a chronic inflammatory disorder with a varying etiology. Herein, we report the involvement of peripheral veins in Behçet disease and discuss the treatment thereof. Methods: Thirty-four patients with venous involvement in vasculo-Behçet disease were retrospectively analyzed over 15 years. We reviewed the clinical manifestations, treatment choices, and complications of these patients. Results: Deep vein thrombosis (DVT) was observed in 24 patients (70.59%) and varicose veins in 19 (52.94%). Immunosuppressive treatment was administered to all patients due to the pathological feature of vein wall inflammation. In patients with DVT, anticoagulation therapy was also used, but post-thrombotic syndrome was observed in all patients along with chronic luminal changes. Eleven patients with isolated varicose veins underwent surgery; although symptoms and lesions recurred in half of these patients, no cases of secondary DVT occurred. Conclusion: When DVT was diagnosed in patients with Behçet disease, there was no cure for the lesions. Ultrasonographic abnormalities were observed in all patients, and post-thrombotic syndrome remained to varying degrees. In cases of isolated varicose veins in patients with Behçet disease, DVT did not occur after surgical treatment. If the activity of Behçet disease is controlled, surgical correction of varicose veins is preferable.

Korean Red Ginseng exhibits no significant adverse effect on disease activity in patients with rheumatoid arthritis: a randomized, double-blind, crossover study

  • Cho, Soo-Kyung;Kim, Dam;Yoo, Dasomi;Jang, Eun Jin;Jun, Jae-Bum;Sung, Yoon-Kyoung
    • Journal of Ginseng Research
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    • 제42권2호
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    • pp.144-148
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    • 2018
  • Background: Panax ginseng is a well-known immune modulator, and there is concern that its immune-enhancing effects may negatively affect patients with rheumatoid arthritis (RA) by worsening symptoms or increasing the risk of adverse effects from other drugs. In this randomized, crossover clinical trial, we evaluated the impact of Korean Red Ginseng (KRG) on disease activity and safety in RA patients. Methods: A total of 80 female RA patients were randomly assigned to either the KRG (2 g/d, n = 40) treatment or placebo (n = 40) groups for 8 wk, followed by crossover to the other treatment group for an additional 8 wk. The primary outcome was the disease flare rate, defined as worsening disease activity according to the disease activity score 28 joints-erythrocyte sedimentation rate (DAS28-ESR). The secondary outcomes were development of adverse events (AEs) and patient reported outcomes. Outcomes were evaluated at baseline and 8 wk and 16 wk. The outcomes were compared using the Chi-square test. Results: Of the 80 patients, 70 completed the full study. Their mean age was 51.9 yr, and most exhibited low disease activity (mean DAS28-ESR $3.5{\pm}1.0$) at enrollment. After intervention, the flare rate was 3.7% in each group. During KRG treatment, 10 AEs were reported, while five AEs were developed with placebo; however, this difference was not statistically significant (p = 0.16). Gastrointestinal- and nervous system-related symptoms were frequent in the KRG group. Conclusion: KRG is not significantly associated with either disease flare rate or the rate of AE development in RA patients.

배추무사마귀병 발생실태와 뿌리혹의 생성생태 (Survey of Field Conditions of Clubroot Disease Incidence of Chinese Cabbage in Major Production Areas and Ecology of Root Gall Development)

  • 김충회
    • 식물병과 농업
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    • 제5권2호
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    • pp.77-83
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    • 1999
  • In 1997 surveys 82 out of 180 crucifer fields were infected with clubroot disease in a range of 1-100% of diseased plants and among crucifier crops Chinese cabbage was the most severe, In cropping systems Chinese cabbage-monocropping of Chinese cabbage-radish were found to be most common in major Chinese cabbage production areas. Welsh onion squash or paddy rice were also planted between cropping of Chinese cabbage. Paddy fields converted to upland were lowered in incidence of clubroot disease and fields with loam to silty loam soil were more severe in disease than those with sandy soil. Soil pH and organic contents were nor related to clubroot disease severity. Soil fauua such as total fungi bacteria actinomyces Pseudomonads and Bascillus were not correlated with severity of the disease. Root rall development on Chinese cabbage seedlings was initifially observed under a microscope 13 days after inoculation with Plasmodiophora brassicae but 18 days by naked eyes after inoculation. Root galls were formed mostly around collar roots and gradually spread to main root lateral roots and secondary root branches. Root galls started to enlarge greatly in size and weight from 23 days after inoculation. Chinese cabbage plants at mid-growth stage with root gall development were reduced to 1/2 of that of healthy plants in number of leaves 1/4-1/5 in above ground fresh weight 1/6 in root length but increased to 3 times in diameter of collar root. Diseased plants had little root hairs. Diseased Chinese cabbage plants at harvest were reduced by 9,1-11.8% in head weight compared to healthy plants a positive correlation was observed between root and head weight but those relationships were rot found in the diseased plants.

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노인의 심뇌혈관질환 관련요인의 융복합적 규명 (A Study on Convergence Factors Related to Cardiovascular Disease in Korean Elderly)

  • 박지연
    • 문화기술의 융합
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    • 제6권1호
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    • pp.215-221
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    • 2020
  • 본 연구의 목적은 우리나라 만 65세 이상 노인의 심뇌혈관질환의 융복합적 관련요인을 규명하고, 노인 맞춤형 건강프로그램 개발의 기초자료로 활용하기 위함이다. 본 연구는 2017년도 국민건강영양조사결과를 기초자료로 한 이차자료 분석연구이며, 우리나라 만 65세 이상의 노인 1,617명을 대상으로 하였다. 자료 분석은 IBM 23 ver. SPSS를 이용하였다. 회귀분석 결과 65세 이상 노인의 심뇌혈관질환에는 건강관련요인 중 주관적 건강상태, 걷기실천여부 및 고콜레스테롤혈증이 관련이 있는 것으로 나타났다. 주관적 건강상태는 심뇌혈관질환 발생률이 '매우 좋음'일 경우보다 '좋음'일 경우 2.43배, '보통'일 경우 2.43배, ''나쁨'일 경우 2.39배 높았고, 매우 나쁨'일 경우에는 3.84배로 가장 높게 나타났다. 걷기실천여부는 걷기실천을 '하는 경우'보다 '하지 않는 경우'에 심뇌혈관질환의 발생이 1.44배 높게 나타났다. 고콜레스테롤혈증은 '없는 경우'보다 '있는 경우'에 심뇌혈관질환 발생률이 2.63배 높은 것으로 나타났다. 연구결과를 토대로 노인의 기저질환을 고려한 적극적인 예방적 간호중재 프로그램개발이 필요하다.

안동시 소나무재선충병 피해지에 대한 생태학적 특성 (Ecological Characteristics of Pine Wilt Disease affected areas in Andong city, Korea)

  • 김성열;박준성;문건수;최재용
    • 한국환경복원기술학회지
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    • 제24권5호
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    • pp.35-53
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    • 2021
  • A field survey was carried out targeting 59 pine wilt disease control areas distributed in Andong, and the ecological characteristics of the areas affected by pine wilt disease were analyzed using vegetation information, ecological information, and land use information. Vegetation characteristics of Pine wilt disease affected forest area showed a 3-layer vegetation structure, high percentage of accidental occurrence species (37%) and secondary vegetation species (59.6%), appearing 12 taxa naturalized plants and 3 taxa ecosystem disturbance organisms designated by the Ministry of Environment. Ecological information of Pine wilt affected area showed frequent occurrence of water stress in south and west slopes, low lying grounds in mountains, and in well-drained soils. Also, surrounding the area has been used as roads, tombs, and cultivation where intensive human activities were the cause of disturbance and stress to the pine forest. It was analyzed that the pine forest in Andong city suffered extensive damage due to the onset of pine wilt disease while the pine trees were weakened due to continuous human activities. Conclusively, the spread and onset of pine wilt disease are worsened by artificial factors than natural environmental conditions.

The antioxidant activities of Korean Red Ginseng (Panax ginseng) and ginsenosides: A systemic review through in vivo and clinical trials

  • Park, Soo Kyung;Hyun, Sun Hee;In, Gyo;Park, Chae-Kyu;Kwak, Yi-Seong;Jang, Young-Jin;Kim, Bumseok;Kim, Jong-Hoon;Han, Chang-Kyun
    • Journal of Ginseng Research
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    • 제45권1호
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    • pp.41-47
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    • 2021
  • A wide range of studies have steadily pointed out the relation of oxidative stress to the primary and secondary causes of human disease and aging. As such, there have been multiple misconceptions about oxidative stress. Most of reactive oxygen species (ROS) generated from chronic diseases cause oxidative damage to cell membrane lipids and proteins. ROS production is increased by abnormal stimulation inside and outside in the body, and even though ROS are generated in cells in response to abnormal metabolic processes such as disease, it does not mean that they directly contribute to the pathogenesis of a disease. Therefore, the focus of treatment should not be on ROS production itself but on the prevention and treatment of diseases linked to ROS production, including types 1 and 2 diabetes, cancer, heart disease, schizophrenia, Parkinson's disease, and Alzheimer's disease. In this regard, Korean Red Ginseng (KRG) has been traditionally utilized to help prevent and treat diseases such as diabetes, cancer, inflammation, nervous system diseases, cardiovascular disease, and hyperlipidemia. Therefore, this review was intended to summarize in vivo animal and human clinical studies on the antioxidant activities of KRG and its components, ginsenosides.

파킨슨병 노인의 낙상에 영향을 미치는 신체적, 심리적 요인 (Physical and Psychological Factors Affecting Fall in Elderly Patients with Parkinson's disease)

  • 김지연;변미경
    • 융합정보논문지
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    • 제12권3호
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    • pp.55-65
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    • 2022
  • 파킨슨병 노인은 낙상의 신체적, 정신적 위험요인을 가진 비율이 비 파킨슨병 노인에 비해 높아, 파킨슨병 노인의 낙상 경험 유무에 따라 낙상에 영향을 주는 신체적, 정신적 위험요인을 한국 노인 전체를 모집단으로 하는 국가 데이터를 이용하여 규명하였다. 2017년 보건복지부의 노인실태 자료조사를 이용한 2차 분석연구로, 파킨슨병 노인은 총 103명이었으며 결측값을 제외하고 총 96명의 대상자를 분석하였다. 파킨슨병 노인에게서 낙상에 가장 큰 영향을 미치는 요인은 IADL로 나타났으며, IADL은 운동 조절기능과 관련이 있다. 운동 조절기능의 저하는 일상생활에 필수적으로 요구되는 신체 움직임에 제약을 가하며 위급상황에서의 자기 보호적 행동까지도 영향을 미쳐 낙상에 영향을 미친다. IADL이 낙상에 영향을 줄 수 있다는 본 연구결과를 바탕으로 파킨슨병 노인의 낙상 예방 중재를 위한 다양한 운동요법을 제안할 수 있을 것이다.

특발성 및 속발성 동결견에 대한 한방복합치료 성과의 후향적 분석 (Analysis of Treatment Outcomes for Idiopathic and Secondary Frozen Shoulder with Traditional Korean Medicine : A Retrospective Study)

  • 이주현;석경환;류수형;이수연;김홍국;유덕우;구본혁;김민정;박연철;서병관;백용현
    • Journal of Acupuncture Research
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    • 제32권4호
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    • pp.177-186
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    • 2015
  • Objectives : This study was performed to analyze treatment outcomes of idiopathic and secondary frozen shoulder patients with clinical characteristics, as well as percentage of pain reduction, and to find out relevant factors for pain reduction in the frozen shoulders of each patient group. Methods : Data were collected from outpatients who visited the Acupuncture and Moxibustion department and treated with traditional Korean Medical treatments at a Korean Medicine Hospital from June 12, 2006 to June 30, 2015. Patients were divided into two groups; idiopathic and secondary frozen shoulder, based on imaging and medical records. Clinical characteristics (demographic characteristics, disease characteristics, treatment characteristics) and percentage pain reduction were collected. Percentage pain reduction was compared between two groups and relevant factors for pain reduction were analyzed. Results : 78 outpatients'medical records were reviewed. There was no significant difference of clinical characteristics between idiopathic and secondary frozen shoulder patients. In percentage pain reduction, there was no significant difference between the two groups. In the idiopathic frozen shoulder group, patients who had a short duration from the onset had a tendency for less pain (p<0.05). In the secondary frozen shoulder group, patients taking herbal medicine experienced significantly less pain (p<0.05). Conclusions : We could find no significant difference in percentage pain reduction with traditional Korean medicine between idiopathic and secondary frozen shoulder. Duration from the onset could be relevant in percentage pain reduction in idiopathic frozen shoulder, and taking herbal medicine could be relevant in the percentage pain reduction in secondary frozen shoulder.