• 제목/요약/키워드: Skin Disease

검색결과 1,433건 처리시간 0.037초

Leflunomide에 의한 약물유발 간질성 폐렴 1예 (A Case of Interstitial Pneumonitis Caused by Leflunomide)

  • 이정화;천원석;서영일;엄광석;장승훈;반준우;김동규;정기석
    • Tuberculosis and Respiratory Diseases
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    • 제58권1호
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    • pp.83-88
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    • 2005
  • Leflunomide는 최근에 개발된 항류마티스 약물로서 기존의 약물과 작용기전이 다르면서 효과가 우수하여 활동성 류마티스관절염에 널리 사용되고 있다. 알려진 부작용에는 간독성과 피부독성, 조혈기능부전, 위장관계 증상등이 있는데, 시판후 조사에서는 호흡기계 부작용도 드물지만 경한 정도에서 치명적인 경우까지 모두 보고 되었다. 세계 각 처에서의 시판후 조사에 의하면 호흡기계 부작용으로 사망한 경우가 있어서 심각한 폐독성의 가능성을 시사한다. 우리나라에서는 leflunomide로 인한 호흡기계 부작용에 대한 보고가 없었다. 저자들은 leflunomide에 의한 간질성 폐렴 1예를 경험하였기에 문헌고찰과 함께 보고하는 바이다.

석회유황합제가 배나무 낙엽의 진균 다양성 변화에 미치는 영향 (Effect of Lime Sulfur on Changes of Fungal Diversity in Pear Fallen Leaves)

  • 민광현;송장훈;조백호;양광열
    • 한국균학회지
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    • 제43권4호
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    • pp.281-285
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    • 2015
  • 석회유황합제의 배나무 동계방제 수단으로써 효과를 과학적으로 증명하기 위해 배 과수원에서 1차 전염원의 역할을 하는 낙엽에 석회유황합제를 처리한 후 낙엽에 존재하는 진균의 다양성 변화를 확인하였다. 물이 처리된 대조구와 석회유황합제 처리구의 낙엽에서 진균 genomic DNA를 추출한 다음 rDNA internal transcribed spacer (ITS) 영역의 염기서열 분석을 통해 진균들을 동정한 결과, 대조구와 석회유황합제 처리구에서 자낭균문(Ascomycota)과 담자균문(Basidiomycota)에 속하는 다양한 종류의 진균들이 동정되었으나 동정되는 진균의 수와 비율은 서로 다르게 나타났다. 특히 배 과피얼룩병을 일으키는 Alternaria속과 Cladosporium속의 진균은 대조구에 비해 석회유황합제 처리구에서 동정되는 비율이 대폭 감소되었으며, Phomopsis속의 진균은 대조구에서는 동정되었으나 석회유황합제 처리구에서는 동정되지 않았다. 이러한 결과는 석회유황합제 처리가 배 낙엽에 존재하는 진균 다양성의 변화에 영향을 미쳤으며 동계방제로서 역할을 수행할 수 있음을 시사한다.

우측 내정(內庭) 자침이 사백(四白) 부위의 온도와 습도변화에 미치는 영향 (Effects of Acupuncture at Right Nae-jong$(ST_{44})$ on the Temperature and Humidity Changes of Sa-baek$(ST_2)$ Area)

  • 오성종;이상룡
    • Korean Journal of Acupuncture
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    • 제22권3호
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    • pp.41-51
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    • 2005
  • Objectives : This study was performed to observe the effects of acupuncture at right Nae-jong$(ST_{44})$ on the temperature and humidity changes of Sa-baek$(ST_2)$ area according to the meridian and Keo-ja(巨刺) of oriental medicine's theory. Methods : A clinical study was done on 13 females who didn't have my disease. We used LT-8B to observe the effects of acupuncture at right Nae-jong$(ST_{44})$ on the temperature and humidity changes of Sa-baek$(ST_2)$ area. Skin temperature and humidity on right and left Sa-baek$(ST_2)$ were measured by LT-8B at 1 minute before acupuncture stimulation, 1 minute and 2 minutes after acupuncture stimulation of right Nae-jong$(ST_{44})$. Results : 1. After inserting the needle at the right Nae-jong$(ST_{44})$ point, the temperature at the left Sa-baek$(ST_2)$ area rised from $31.60{\pm}1.13^{\circ}C$ 1 minute before to $32.24{\pm}1.19^{\circ}C$ 1 minute after the insertion and to $32.34{\pm}1.23^{\circ}C$ 2 minutes after insertion, what means an elevation by (P<0.05) between the temperature before and 2 minutes after the insertion and still an elevation by (P<0.01) between 1 minute and 2 minutes after insertion. The humidity at the same area decreased by (P<0.01) between 1 minute and 2 minutes after insertion. 2.After stimulating the right Nae-jong$(ST_{44})$ point the temperature change at the right Sa-baek$(ST_2)$ area between before and after the insertion was unremarkable, however the temperature rised by (P<0.05) between 1 minute and 2 minutes after insertion and the humidity decreased by (P<0.05) between 1 minute and 2 minutes after stimulation. 3. Comparing the temperature change between 1 minute and 2 minutes after stimulating the right Nae-jong$(ST_{44})$ point, we could find a significant difference by (P<0.05) at both Sa-baek$(ST_2)$ areas. Concerning the humidity change, there were some average differences but too small for statistic significance.

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냉부하검사(CST)를 활용한 수부냉증의 침치료 효과에 대한 예비 연구 (Effects of Acupuncture on patients with cold hypersensitivity by Cold Stress Test : pilot study)

  • 황덕상;조정훈;이창훈;장준복;김용석;이경섭;이윤재
    • 대한한방체열의학회지
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    • 제5권1호
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    • pp.69-77
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    • 2006
  • Purpose : There are many patients with cold hypersensitivity who want oriental medicine treatment. But there has been no study of acupucture treatment effect on patients. So we examined effects of acupuncture treatment at different acupuncture points and compared results of 1st cold stress test and 2nd cold stress test. Method : 8 patients with hand cold hypersensitivity applied for this study. To rule out an bias, we excluded the patients with skin diseases, spinal nerve disease of cervial spine, external wounds. We measured body temperature with D.I.T.I. We performed cold stress test(CST) by 6 thermographic observation using D.I.T.I ; the 1st was taken after 15 minutes-resting, the 2nd was immediately taken after 1 minute soak in $20^{\circ}C$ water, the 3rd was taken at 10 minutes after the soak, and after a week, the 4th was taken after 15 minutes resting, the 5th was immediately taken after 1 minute soak in $20^{\circ}C$ water, the 6th was taken after 10 minutes with acupunture treatment. There were two groups of patients. First group was acupuncture that performed acupuncture therapy on distal points. Second group was acupuncture that performed acupuncture therapy on proximal points. We compared first CST and second CST recovery rate result. Results : The recovery rate at distal points acupuncture therapy was higher than before of that. but not significantly different. The recovery rate at proximal points acupuncture therapy was significantly higher than before of that. The recovery rate of both the back, the palms, all fingers of after proximal acupuncture therapy was significantly higher than before of that. Conclusions : Acupuncture could be effective therapy method on cold hypersensitivity, especially using proximal acupuncture points could be good at cold hypersensitivity patients. This was pilot study of very small samples, results had limitations. For further results more examine would be needed.

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체질량지수 $23\;kg/m^2$ 이상 남녀에서 8 주간의 의학 영양 치료에 의한 저열량 식이 섭취가 체격지수 및 혈액학적 지표에 미치는 영향 (Effect of 8 Weeks of Low Calorie Diet on Body Composition and Blood Parameters in the People with BMI Greater than $23\;kg/m^2$)

  • 김윤영;이인회;이인석;조여원
    • 동아시아식생활학회지
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    • 제18권5호
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    • pp.725-731
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    • 2008
  • The principal objective of this study was to assess the effects of low-calorie diets(LCD) for 8 weeks of medical nutrition therapy in individuals with BMI in excess of $23\;kg/m^2$. 41 over-weight or obese individuals (male=14, female=27, age $28.6{\pm}8.9\;yrs$), none of whom were diagnosed with a medical disease, were administered MNT 4 times over the study period. Approximately $1,100{\sim}1,300\;kcal/day$ were prescribed by a dietitian, via individualized counseling. Anthropometric parameters, daily nutrient intake, and blood levels of leptin, insulin, and lipid profiles were measured prior to and after the 8 weeks of the intervention period. We noted significant reductions in body weight, body mass index (BMI), fat mass (FM), visceral adipose tissue (VAT), abdominal skin-fold thickness, and waist circumference in both men and women. The mean body weight losses in men and women were $3.2{\pm}0.6\;kg$/8 weeks and $2.8{\pm}0.6\;kg$/8 weeks, respectively. However, the % of lean body mass (LBM) in men and women was shown to increase significantly (p<0.05). The daily intake of calorie, fat, protein, vitamin E, folate, and iron were significantly reduced during the LCD period. Blood levels of lipids and glucose were in normal range, and evidenced no changes after LCD. However, the serum levels of leptin in female subjects were significantly reduced (p<0.00l) from $8.9{\pm}4.8\;ng/mL$ to $6.9{\pm}4.8\;ng/mL$. In conclusion, 8 weeks of LCD with individualized counseling by a dietitian effectively reduced body fat and visceral fat in both men and women with BMI in excess of $23\;kg/m^2$.

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익모초 추출물의 항산화 작용에 관한 연구 (Study of Antioxidation Action of Lenonuri herba Extract)

  • 김지영;이연희;김주연;노보경
    • 대한화장품학회지
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    • 제31권2호
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    • pp.189-196
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    • 2005
  • 익모초(Leonurus sibiricus L)는 한국, 중국, 일본, 아시아 각지에 야생으로 자생하는 2년생 초본으로 꿀풀과(Labiatae) 식물로 높이 1.5${\~}$2m 정도 자란다. 약효로는 부인병의 각종 자궁질환, 활혈, 조경, 이뇨, 소증 효과는 물론 혈변, 혈뇨, 치질, 대${\cdot}$소변 불통 등의 치료제로 사용한다. 그 외에 고혈압, 강심작용, 항암연구도 활발하다. 익모초의 $CHC1_3$ 엑스와 MeOH 엑스를 $H_2O$, $30\%$ MeOH, $60\%$ MeOH, $100\%$ MeOH로 분획하였고, 이 5가지 분획물들에 대하여 activity guided fractionation 방법에 따라 DPPH free radical에 대한 scavenging activity와 LDL의 lipid peroxidation을 이용한 TBARS assay로 항산화 활성실험을 측정하였다. 그 결과 익모초의 MeOH 엑스는 $30\%$ MeOH, $60\%$ MeOH 분획물이 항산화 활성이 증가하였으며, Vitamin C와 비교해 볼 때 강한 활성을 나타내었다. 또한 pyrogaliol을 이용한 SOD 활성에서도 250 ppm에서는 Vitamin C 보다 우수한 유사 활성을 보였다. 이상과 같이 익모초로부터 비교적 강한 항산화 활성을 확인할 수 있어 천연항산화 기능성 화장품의 개발이 가능하리라 보여 진다.

중환자실 환자의 욕창 관련 경계압력 예측요인 (Factors Predicting the Interface Pressure Related to Pressure Injury in Intensive Care Unit Patients)

  • 신지선;김수진;이지현;유미
    • 대한간호학회지
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    • 제47권6호
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    • pp.794-805
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    • 2017
  • Purpose: Interface pressure is a factor that contributes to the occurrence of pressure injuries. This study aimed to investigate interface pressure at common sites of pressure injury (occipital, gluteal and peritrochanteric areas), to explore the relationships among risk factors, skin condition and interface pressure, and to identify risk factors influencing interface pressure. Methods: A total of 100 patients admitted to the intensive care unit were enrolled at a tertiary teaching hospital in Korea. Interface pressure was recorded by a scanning aid device (PalmQ). Patient data regarding age, pulmonary disease, Braden Scale score, body mass index, serum albumin, hemoglobin, mean blood pressure, body temperature, and oxygen saturation were included as risk factors. Data collected from July to September 2016 were analyzed using binary logistic regression. Results: The mean interface pressure of the occipital, gluteal, and right and left peritrochanteric areas were 37.96 (${\pm}14.90$), 41.15 (${\pm}16.04$), 53.44(${\pm}24.67$), and 54.33 (${\pm}22.80$) mmHg, respectively. Predictive factors for pressure injuries in the occipital area were age ${\geq}70$ years (OR 3.45, 95% confidence interval [CI]: 1.19~9.98), serum albumin deficit (OR 2.88, 95% CI: 1.00~8.26) and body temperature ${\geq}36.5^{\circ}C$ (OR 3.12, 95% CI: 1.17~8.17); age ${\geq}70$ years (OR 2.81, 95% CI: 1.10~7.15) in the right peritrochanteric area; and body temperature ${\geq}36.5^{\circ}C$ (OR 2.86, 95% CI: 1.17~6.98) in the left peritrochanteric area. Conclusion: Our findings suggest that old age, hypoalbuminemia, and high body temperature may be contributory factors to increasing interface pressure; therefore, careful assessment and nursing care of these patients are needed to prevent pressure injury. Further studies are needed to establish cutoff values of interface pressure for patients with pressure ulcers.

폐를 침범한 혈관내 림프종증 1예 (A Case of Pulmonary Intravascular Lymphomatosis)

  • 박상종;배상수;천은미;권오정;이종헌;한용철;김진국;이경수;고영혜
    • Tuberculosis and Respiratory Diseases
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    • 제44권6호
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    • pp.1390-1395
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    • 1997
  • 혈관내 림프종증(intravascular lymphomatosis, IVL)은 1959년 처음 보고되었으며, 주로 B 림프구의 혈관 내부에 국한된 악성 증식으로 발생하는 드문 악성 질환이다. IVL의 주된 침범 부위는 중추신경계이며 그 외 피부, 심장, 폐, 간 등 전신장기를 침범할 수 있다. IVL의 폐침범은 드문 경우로 주된 증상은 호흡곤란, 발열, 기침 등이며 방사선학적으로 간질성 침윤으로 나타난다. 최근 저자 등은 고열과 흉부 통증을 동반하여 발생한 폐를 침범한 혈관내 림프종증 1예를 경험하였기에 단순 흉부촬영에서 간질성 침윤을 동반하는 원인 미상의 발열과 호흡곤란의 드문 감별 진단의 하나로 이를 보고한다.

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인터넷 육아전문 사이트의 육아정보 분석 (An Analysis of Internet based Child Care Portal sites)

  • 이자형;이정은;오진아;김혜영;김경원;박영애;김성희;김지현;정향진;천기정
    • 부모자녀건강학회지
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    • 제4권2호
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    • pp.56-72
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    • 2002
  • Web sites on the internet are getting major resources to gain information related to child care. Though the numerous web sites deliver child care information, they have never been evaluated with criteria before. The purpose of this study is to identify existence and organization of child care portal sites and to analysis their contents, therefore to suggest guidelines for parents. The survey was conducted from Sep. 1. to Oct. 30., 2001. by means of Lycos Korea and Daum search engine and finally 45 portal sites related to child care were selected eliminating the commercial and personal homepages. The results were as follows: 1. Most of the sites(95.6%) were operated by corporations without registration(82.2%). Consultants were mostly professional (71.1%). 2. The contents were analyzed 4 categories including 19 themes. 3. Diet & Nutrition category include weaning food, breast feeding, bottle feeding and snack. The recipe and type of weaning food on months were topped(64.44%). 4. Infant Care category include bathing, sleeping, clothes, skin care and cord care. bathing method and heat of bathing water were topped(44.44%). 5. Growth & Development category was consisted of developmental characteristics, dental growth, play & exercise and learning & guidance. Developmental stage and motor development were topped (62.22%). 6. Health maintenance & promotion category was consisted of emergency care, prevention of accidents, vaccination, common pediatric disease and parental role. Care of diarrhea, constipation and fever, and precautions for vaccination were topped(48.89%).

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우엉뿌리추출물이 ICAM-1과 NO조절에 미치는 항염증효과 (Anti-inflammatory Effects by Arctium lappa L. Root Extracts through the Regulation of ICAM-1 and Nitric Oxide)

  • 김예진;강세찬;남궁승;정명근;손은화
    • 한국자원식물학회지
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    • 제25권1호
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    • pp.1-6
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    • 2012
  • 본 연구는 우엉추출물의 항염증효과를 측정하였다. 인간 유래 폐상피세포 A549를 이용하여 염증반응을 유발하고 유지시키는데 중요한 역할을 나타낸다고 알려진 ICAM-1의 억제적 조절 효과를 평가하였으며, 염증매개인자로 알려진 NO와 이의 생성에 영향을 미치는 iNOS의 발현조절에서도 억제효과가 있음을 확인하였다. 또한, 우엉추출물이 인간각질형성세포주의 세포증식에 효과가 있음을 나타내었다. 본 연구에서 사용되는 폐상피세포는 호흡기질환의 천식 등의 알러지 및 만성염증연구에 주로 활용되고 있으며, 각질형성세포는 아토피 피부염의 만성 염증반응에서 주요하게 확인하는 요소이다. 따라서 본 연구결과에서 나타난 우엉추출물의 항염증 효과는 다양한 염증반응에서도 특히, 알러지 및 아토피 피부염 질환을 더욱 악화시키는 만성 염증에 있어서 우엉추출물이 유용한 소재로 사용될 수 있음을 시사한다고 할 수 있다.