• 제목/요약/키워드: Skin Treatment

검색결과 3,195건 처리시간 0.029초

COVID-19 전후 단일 한방병원 및 한방 안이비인후피부과 외래 환자들에 대한 비교 분석 (Comparative Analysis of Outpatients Visiting Korean Medicine Hospital and Department of Ophthalmology, Otolaryngology & Dermatology of Korean Medicine Pre- versus Post- COVID-19)

  • 김병현;김준동;서광일;김규석;남혜정;김윤범
    • 한방안이비인후피부과학회지
    • /
    • 제36권1호
    • /
    • pp.96-109
    • /
    • 2023
  • Objectives : The objective of this study is to predict how future infectious diseases will affect healthcare utilization patterns within korean medicine hospitals and, specifically, departments of ophthalmology, otolaryngology and dermatology of Korean medicine. Methods : We retrospectively analyzed medical records of patients who visited Kyung Hee University Korean Medicine Hospital during Pre COVID-19(from March 1st, 2018 to Feb 29th, 2019) and Post COVID-19(from March 1st, 2019 to Feb 28th, 2022). The data was analyzed by visit type and diagnosed disease code. Results : 1. After the COVID-19 break-out, the number of first visit patients increased but those of revisit patients, total patients, and revisit/first visit ratio decreased in all departments. 2. In Kyung Hee University Korean Medicine Hospital, the decrease rate of the number of total patients diagnosed with diseases of respiratory system(J00-J99) was the highest, while that for diseases of circulatory system(I00-I99) was the lowest. 3. In the department of Ophthalmology and Otolaryngology of Korean Medicine, the decrease rate of the number of total patients with nose disease was the highest, followed by eye disease and ear disease. 4. In the department of Dermatology of Korean Medicine, the number of total patients with dermatitis remained consistent, while the number of total patients with skin appendage disease showed relatively high decrease rate. Conclusions : Severe or chronic diseases showed relatively low decrease rate of the number of total patients. While mild diseases or diseases with high probability of exposure to COVID-19 infection during treatment showed high decrease rate of the number of total patients.

Balb/c 생쥐에 대한 어싱 매트리스에 의한 항염 효과 (Anti-inflammatory Effects of Earthing Mattress in Mouse)

  • 김지연
    • 동의생리병리학회지
    • /
    • 제36권3호
    • /
    • pp.89-93
    • /
    • 2022
  • Earthing, caused by direct skin contact with the Earth's surface, is used to reduce the symptoms of inflammation (fever, fever, swelling and pain). However, there is little evidence to support the anti-inflammatory effects of earthing mattresses. Therefore, this study was conducted to investigate whether anti-inflammatory effect of earthing mattress using an in vivo animal model. The anti - inflammatory effect was evaluated by measuring ear thickness and foot volume in 12-O-tetradecanoylphorbol-13 acetate (TPA) - induced ear edema and carrageenan - induced paw edema model, respectively. Balb/c mouse in carrageenan paw edema model showed significant anti - inflammatory effect in the group treated with earthing mattress for 4 hours or 24 hours for 3 days. For females, the anti-inflammatory effect was greater when the earthing mattress was added to the mattress than the mattress alone treatment. From the above results, it was found that the female responds more to the effect of the earthing as well as the mattress effect. In addition, when the male and female Balb/c mice were exposed to mattresses and earthing mattresses for 24 h for 3 days, respectively, the mattress and earthing mattresses showed significant inhibition of IL (Interleukin)-1β levels compared to the control. In the TPA ear edema model, Balb/c mouse showed significant anti - inflammatory effect in the group treated with the earthing mattress for 4 hours or 24 hours for 3 days. Both males and females showed more anti-inflammatory effects when they were exposed to earthing mattresses with mattresses added to the mattresses. From the above results, it was found that both male and female respond to the effect of earthing as well as the mattress effect in the TPA ear edema model. In conclusion, in this study, we have verified that earthing mattress shows inhibitory effects on TPA and carrageenan-induced inflammation. From these results, it is suggested that the anti-inflammatory effect can be expected by applying the earthing mattress to patients suffering from inflammatory diseases. However, there is a need to pinpoint exactly how the earthing mattress relieves inflammation, and further research is needed to investigate the mechanism.

황칠나무 물 추출물의 항산화, 알코올 대사 효소 및 간 보호 활성 (Antioxidant, Alcohol Metabolizing Enzyme, and Hepatoprotective Activities of Dendropanax morbifera Water Extract)

  • 정경임;정한나;최영주
    • 생명과학회지
    • /
    • 제32권5호
    • /
    • pp.348-354
    • /
    • 2022
  • 본 연구에서는 황칠나무 잎과 줄기 물 추출물의 항산화 활성과 알코올 대사 효소 활성 및 간 보호 효과를 알아보았다. 황칠나무 잎과 줄기 물 추출물의 총 폴리페놀 함량은 49.56 mg TAE/g으로 나타났다. DPPH radical 소거능은 황칠나무 잎과 줄기 물 추출물의 농도 의존적으로 소거능이 증가하였으며 1,000 ㎍/ml 농도에서 84.09%로 높게 나타났다. 알코올 분해 활성을 알아보기 위해 ADH 및 ALDH 활성을 측정한 결과, 두 가지 효소 모두 황칠나무 추출물의 농도 의존적으로 증가하였으며 1,000 ㎍/ml 농도에서의 ADH 및 ALDH 활성은 각각 37.68% 및 41.67%로 나타났다. 황칠나무 잎과 줄기 물 추출물은 tacrine으로 유도된 HepG2 세포주의 세포독성에 대한 보호 활성이 나타났다. 이상의 결과를 통해 황칠나무 잎과 줄기 물 추출물은 항산화 효과와 알코올 숙취해소 효과 및 간세포 보호 효과가 높은 것으로 나타나 기능성 식품 소재로서의 활용 가능이 높은 것으로 사료된다.

2018-2022년 경희대학교 한방병원 한방 피부과 외래환자에 대한 통계적 분석 (A Statistical Analysis of Outpatients in Dermatology of Korean Medicine at Kyung Hee University Korean Medicine Hospital in 2018-2022)

  • 김병현;서광일;홍예은;김규석;남혜정;김윤범
    • 한방안이비인후피부과학회지
    • /
    • 제36권3호
    • /
    • pp.1-11
    • /
    • 2023
  • Objectives : The objective of this study is to identify the characteristics of outpatients and the frequently diagnosed diseases in dermatology of Korean medicine through periodic research and comparison with previous studies. Methods : We analyzed medical records of new outpatients who visited department of dermatology at Kyung Hee university Korean medicine hospital between January 1, 2018 and December 31, 2022. We analyzed the patient demographic characteristics and the frequency of diagnosed diseases. Then we compared these results with previous studies in 2000, 2007 and 2016. Results : 1. Average number of patients and proportion of male patients have increased from 1996 to 2022. 2. From 1996 to 2022, there was a decrease in the proportion of patients aged 0-39 and an increase in the proportion of patients aged over 40. 3. The distribution proportions of eczema, atopic dermatitis, and rosacea during 2018-2022 have increased compared to those during 2011-2015. 4. The distribution of diseases according to age appears to vary based on the epidemiological characteristics of the diseases. 5. The distribution of diseases according to gender also appears to vary based on the epidemiological characteristics of the diseases, as well as cosmetic issues related to the affected areas. Conclusions : Considering the sustained trend of a high proportion of non-infectious inflammatory diseases since 1996, it is important to enhance treatment capacity through continuous research.

전기식 온침기의 온도 변화 특성에 관한 연구 (The Characteristics of Temperature Variation in Electronic Warm Acupuncture Device)

  • 이자하;문정현;정우령;홍수화;박경은;이병욱;성원석;윤종화;김은정
    • Korean Journal of Acupuncture
    • /
    • 제40권4호
    • /
    • pp.184-193
    • /
    • 2023
  • Objectives : The purpose of this study is to understand the temperature characteristics depending on the thickness and material of the needle used with the Electronic Warm Acupuncture Device (EWAD). Methods : We controlled experimental environment and measured temperature changes of a silicon phantom in which K-type thermocouples were inserted at depths of 2, 7 mm. EWAD perfomed with acupuncture needles of various thicknesses (0.25×60 mm, 0.40×60 mm, and 0.50×60 mm) and materials (Gold 0.40×50 mm). We set non-needle (only heated with EWAD skin heater) group as a control group. Results : The maximum temperature and temperature changes of 0.40 mm, 0.50 mm needle group were significantly higher than the non-needle group. The highest temperature range in all needle groups was 0.50 mm needle group (41.44±0.31℃). However, the 0.25 mm needle group was not significantly different from the non-needle group. Maximum temperature of gold needle group was significantly higher than stainless steel needle group. Temperature changes of gold needle group were higher than stainless steel group at the depth of 7 mm. Conclusions : It was found that needle thickness and material of acupuncture had an effect on the temperature of the EWAD. When performing EWAD treatment, consideration of thickness and material of acupuncture is needed. Future research is needed using phantoms that can reflect actual clinical situations and better mimic the human body.

헤스페레틴(Hesperetin)과 사이클로덱스트린(Cyclodextrin) 포접 복합체의 항산화, 항염증, 항균 활성 (Antioxidant, anti-inflammatory, and antimicrobial activity of hesperetin and its cyclodextrin inclusion complexes)

  • 최성숙;이경애
    • 한국응용과학기술학회지
    • /
    • 제40권5호
    • /
    • pp.988-1000
    • /
    • 2023
  • Hesperetin은 Hesperidin에서 유도되는 강한 항산화 기능의 플라보노이드 비당체이다. 본 연구에서는 Hesperetin과 이의 Cyclodextrin 포접 복합체에 대하여 항산화, 항염증 및 항균 활성을 비교하였다. Hesperetin은 Hesperidin에 효소처리하여 제조되었으며, Hesperetin/Cyclodextrin 포접체는 용매 증류법에 의해 𝛽-Cyclodextrin 및 Hydroxypropyl-𝛽-Cyclodextrin을 사용하여 제조되었다. Hesperetin에 비해 Hesperetin/Hydroxypropyl-𝛽-Cyclodextrin 포접체의 용해도는 93.5배 증가하였고, Hesperetin/𝛽-Cyclodextrin 포접체의 용해도는 22.5배 증가하였다. 항산화 분석에서 Hydroxypropyl-𝛽-Cyclodextrin 포접체는 Hesperetin과 유사한 라디칼 소거 활성능을 보인 반면, 𝛽-Cyclodextrin 포접체는 Hesperetin 보다 약간 낮은 활성을 나타내었다. RAW 264.7 세포에 대한 세포독성은 Hydroxypropyl-𝛽-Cyclodextrin 포접체, 𝛽-Cyclodextrin 포접체, Hesperetin의 순으로 세포독성이 낮았다. Hesperetin과 Cyclodextrin 포접체는 모두 세포내 산화질소(NO), 종양괴사인자-𝛼(TNF-𝛼) 및 인터루킨-6(IL-6)과 같은 염증 매개체를 감소시켰다. Hesperetin 및 Hydroxypropyl-𝛽-Cyclodextrin 포접체는 상대적으로 𝛽-Cyclodextrin 포접체 보다 더 효과적이었다. 피부 유해성 세균인 황색 포도상구균과 녹농균에 대해 억제 효과를 시험한 결과, 황색 포도상구균에 대해서는 Hesperetin = Hydroxypropyl-𝛽-Cyclodextrin 포접체 > 𝛽-Cyclodextrin 포접체의 순서로 항균 효과를 나타내었으나, 녹농균에 대해서는 뚜렷한 억제효과를 나타내지 않았다. 결론적으로, Hesperidin의 비당체 형태인 Hesperetin과 이의 Cyclodextrin 포접체는 다양한 생물학적 활성을 보여주었으며, 용해도가 높은 Hydroxypropyl-𝛽-Cyclodextrin 포접체가 𝛽-Cyclodextrin 포접체에 비해 상대적으로 더 높은 활성을 나타내었다.

후천성 면역 결핍 바이러스와 연관된 위장관 카포시 육종: 증례 보고 (Human Immunodeficiency Virus-Associated Gastrointestinal Kaposi's Sarcoma: A Case Report )

  • 임희중;박소현;최승준;박수영;이희영;정준원;정동해
    • 대한영상의학회지
    • /
    • 제81권5호
    • /
    • pp.1260-1265
    • /
    • 2020
  • 카포시 육종은 후천성 면역 결핍 증후군(acquired immunodeficiency syndrome; 이하 AIDS)와 연관되어, 피부, 점막과 여러 장기를 침범하는 다발성의 혈관성 결절로 나타나는 신생물을 일컫는다. AIDS와 연관되어 생기는 위장관 카포시 육종은 내장에 파종성 질환으로 가장 흔하게 발생한다. 우리는 다양한 장기를 침범하여 복통과 함께 장관 내 출혈을 유발한 드문 카포시 육종의 영상 소견에 대해 보고한다. 회장 대장내시경을 통해 말단 회장, S자 결장, 직장 내 다양한 병변이 발견되었으며 소장 투시검사로 공장과 회장의 병변을 확인할 수 있었다. 복부 골반 전산화단층촬영에서 회장 내 조영증강된 다양한 납작한 병변과 복강 내 크기가 커진 림프절을 발견하였다. 조직병리학 검사에서 카포시 육종으로 최종 진단이 된 환자는 항레트로바이러스제로 치료를 시행 받았다. 최근 AIDS 환자의 수가 늘고 있는 상황에서, AIDS와 연관된 Kaposi's sarcoma의 영상학적 소견을 숙지하는 것은 영상의학과 의사를 비롯한 임상의사들에게 빠른 진단과 치료뿐만이 아니라 예상치 못한 AIDS의 감염 위험에 노출될 수 있는 의료진의 안전을 위해서도 필수적이다.

Y존 케어 하이드로젤솔루션의 제조 및 생물학적 특성 평가 (Evaluation of Manufacturing and Biological Properties of Y Zone Care Hydrogel Solution)

  • 김은지;김인경
    • 미래기술융합논문지
    • /
    • 제3권2호
    • /
    • pp.25-31
    • /
    • 2024
  • 최근 정보통신 기술로 인해 산업화되고 발달됨에 있어, 현대사회의 현대 여성들은 수많은 스트레스로 육체적, 정신적 건강에 노출되어 있다. 대중적으로 발생하는 염증들은 유산균이 감소되거나 잦은 항생제 복용 및 면역력 저하의 원인이 대표적이다. 도움이 되며 반영되는 제품 개발이 필요하다. 현재 시중에 소개되고 있는 이너케어젤은 유익균을 증가시키고 건강한 y존을 유지할수 있다. 이너 젤 속에는 하이드로젤 성분이 함유되어있다. 90%가 물로 이루어져 있고 그 외에 성분은 물을 지지하는 지지체로서의 역할을 수행하며, 고분자 사슬간의 가교결합을 통해 형성된다. HEC(hydroxyethyl cellulose)는 셀룰로오스의 하이드록시에칠에 텔이다. 사용목적은 결합제, 유화안정제, 점도증가제(수성), 피막형성제 역할을 한다. CA (crosslinker)는 가교제이며, 결합시켜주는 역할을 한다. 미용분야의 하이드로젤은 얇은 피막형성으로 피부를 부드럽게 감싸주는 피막형성제 역할을 하고, 다른 원료들이 분리되지 않도록 도움을 주는 유화안정제 역할을 한다. 또한, 화장품에 점성을 높여 점도를 개선시키는 점증제 역할을 한다. 또한, 바이오 분야에서는 포도당 감시, 간호관리, 세포이식 및 상처 치료에도 사용되어지고 있다. 현재로서는 기능성 하이드로젤을 이용한 제품은 나오지 않은 것으로 파악되어 있어 본 연구에서는 기능성 하이드로젤 항균성을 알아보기 위해 Y존 케어 하이드로젤 솔루션 제조를 수행하였으며 새로운 솔루션 개발을 목적으로 한다. 결과적으로 Y존에 적절한 Ph를 맞추었음을 확인하였고, PDB배지에 칸디다 알비칸균 배양 후 Y존 케어 하이드로젤솔루션 세가지 제품 모두 0.5~1.0mm의 항균력 효과를 보았다.

기능적 전기 자극과 유산소 운동이 복부비만의 피하지방과 내장지방에 미치는 효과 (The Change of The Effect on The Subcutaneous Fat Area and Visceral Fat Area by The Functional Electrical Stimulation and Aerobic Exercise)

  • 오성태;이문환;박래준
    • The Journal of Korean Physical Therapy
    • /
    • 제16권1호
    • /
    • pp.85-123
    • /
    • 2004
  • Back ground : Subcutaneous fat area is the main factor involved in replacement disease and arteriosclerosis. Simple weight control is the appropriate medical treatment. It's understood that weight reduction does not only reduce the fat concentrations in blood but also reduces blood pressure, improves glucose levels in diabetes patients and reduces incidents of heart disease. there are several methods for reducing fat in the abdominal region but their effectiveness is not folly understood. one method is electrical stimulation of the problem areas. Method : From May 1st 2002 to October 31st. The 15 subjects who received medical examination were aged between 25 and 53 and were of mixed gender. The subjects were divided into two groups one to received functional electrical stimulation and the other a control group. Using Broca's criterion for judging fat grades. I analysed the differences between the two groups before and after the treatment. Subjects received functional electrical stimulation on the abdominal muscle intensity 50Hz. They received this treatment 4 days a week for 40 minutes a day. In the case of aerobic exercise, at the Treadmill, we used it with the intensity of $75\%$ maximum heart rate (220-age). Result 1)After functional electrical stimulation in the case of male subjects, the weight was reduced 1.93kg, obesity $2.60\%$, fat mass 2.73kg, Percent body fat $4.40\%$, waist circumference 6.53cm, circumference of hips 5.53cm. On the other side, the quality of muscle was increased at the rate of 1.03kg, but it's not attentional level. The subcutaneous fat area was reduced by $26.63cm^2$, the visceral fat area was reduced by $43.00cm^2$, In the female subjects, we can see the reduction of fat grade by $26.63cm^2$, the quantity of body fat by 1.5kg, percent body fat by $1.77\%$, circumference of waist by 4.02cm, circumference of hips by 3.67cm, weight by 1.40kg but was increased 0.72kg at the quantity of muscles. We can see the reduction also in the subcutaneous fat area $24.03cm^2$, the visceral fat area by $25.36cm^2$. 2)After aerobic exercise, on the male subjects, we can see reduction of weight by 3.36kg, obesity by $4.00\%$, fat mass by 2.83kg and we can see increase at the soft lean mass by 2.96kg, but we can see reduction, the percent body fat by $3.03\%$, fat distribution by $0.023\%$, circumference of waist by 3.10cm, circumference of hips by 2.23cm. The female subjects show a reduction in the weight by 2.48kg, percent body fat by $2.20\%$, show an increase in the soft lean mass by 1.54kg. We can see a reduction in the quantity of fat mass by 2.32kg, the percent body fat by $2.80\%$, the circumference of waist by 2.16cm, the circumference of hips by 2.68cm, the fat distribution by $0.016\%$, the subcutaneous fat area by $15.25cm^2$ the visceral fat area by $11.52cm^2$. After aerobic exercise, we can't see the attentional change at the total cholesterol, triglyceride, high density lipoprotein cholesterol, low density lipoprotein cholesterol. 3)After the application of functional electrical stimulation and aerobic exercise, in result of measurement on the body ingredient, we could see the weight reduction and increase the quantity of muscle with the male group who exercised aerobic. We can see the attentional rate on the electrical stimulation about abdominal fat rate, circumference of waist, circumference of hips. The other hand, I couldn't see the attentional differences between the two groups in the rate of fatness and quantity of body fat and the rate of body fat. There isn't any attentional difference in the area of fat under skin, on the contrary, There is attentional difference in the fat in the internal organs area at the electrical stimulation site. We can't see the attentional change of total cholesterol, triglyceride, high density lipoprotein cholesterol, low density lipoprotein cholesterol between electrical stimulation and aerobic exercise. 4)After execution of functional electrical stimulation and aerobic exercise, in result of measurement on change of body ingredient among female objects, We could see weight reduction, increase at muscle quantity in the aerobic exercise group. We could see the attentional differences in the rate of fatness, the rate of abdominal region, the circumference which received electrical stimulation. But, we couldn't see the attentional differences between two groups in the quantity of body fatness, the circumference of hips. The subcutaneous fat area doesn't show the attentional differences. On the Contrary, we could see lots of differences in the visceral fat area of the electrical stimulation group. Conclusion The results show that functional electrical stimulation and aerobic exercise have insignificant differences when if comes to total cholesterol, triglyceride, high density lipoprotein cholesterol, low density lipoprotein cholesterol. Though there is affirmative change in body ingredient after both electrical stimulation and aerobic exercise. Functional electrical stimulation is more effective on the subcutaneous fat area and in changing visceral fat area. There fore. It is concluded that the physical therapy is more effective in the treatment of abdominal fatness.

  • PDF

중환자의 욕창 예방 연구 : 욕창 예방 QI팀을 중심으로 (CQI Action Team Approach to Prevent Pressure Sores in Intensive Care Unit of an Acute Hospital Korea)

  • 강소영;최은경;김진주;주미정
    • 한국의료질향상학회지
    • /
    • 제4권1호
    • /
    • pp.50-63
    • /
    • 1997
  • Background : A pressure sore was defined as any skin lesion caused by unrelieved pressure and resulting in damage to underlying tissue. The health care institutions in the United States were reported the incident rate of pressure sores ranging from 6 to 14 %. Intensive Care Unit needed highest quality of care has been found over 40% incidence rate of pressure sore. Also, Annual expenditures for the care of pressure sores in patients in the United States have been estimated to be $7.5 billion; furthermore, 50 percent more nursing time is required to care for patients with pressure sore in comparison to the time needed to implement preventive measures against pressure sore formation. However, In Korea, there were little reliable reports, or researches, about incidence rates of pressure sore in health care institution including intensive care unit and about the integrated approach like CQI action team for risk assessment, prevention and treatment of pressure ulcers. Therefore, this study was to develop pressure sore risk assessment tool and the protocol for prevention of pressure sore formation through CQI action team activities, to monitor incident rate of pressure sore and the length of sore formation for patients at high risk, and to approximately estimate nursing time for sore dressing during research period as the effect of CQI action team. Method : CQI action team in intensive care unit, launched since early 1996, reviewed the literature for the standardized risk assessment tool, developed the pressure sore assessment tool based on the Braden Scale, tested its validity, compared on statistics including incidence rate of pressure sore for patients at high risk. Throughout these activities, CQI action team was developed the protocol, called as St. Marys hospital Intensive Care Unit Pressure Sore Protocol, shifted the emphasis from wound treatment to wound prevention. After applied the protocol to patients at high risk, the incident rate and the period of prevention against pressure development were tested with those for patients who received care before implementation of protocol by Chi-square and Kaplan-Meier Method of Survival Analysis. Result : The CQI action team found that these was significant difference of in incidence rate of pressure sores between patients at high risk (control group) who received care before implementation of protocol and those (experimental group) who received it after implementation of protocol (p<.05). 25% possibility of pressure sore formation was shown for the patients with 6th hospital day in ICU in control group. In experimental group, the patients with 10th hospital day had 10% possibility of pressure sore. Therefore, there was significant difference(p<.05) in survival rate between two groups. Also, nursing time for dressing on pressure sore in experimental group was decreased as much as 50% of it in control group. Conclusion : The collaborative team effort led to reduced incidence, increased the length of prevention against pressure sore, and declined nursing care times for sore dressing. However, there have had several suggestions for future study. The preventive care system for pressure sore should be applied to patients at moderate, or low risk throughout continuous CQI team activities based on Bed Sore Indicator Fact Sheet. Hospital-wide supports, such as incentives, would be offered to participants for keeping strong commitment to CQI team. Also, Quality Information System monitoring incidents and estimating cost of poor quality, like workload (full time equivalence) or financial loss, regularly in a hospital has to be developed first for supporting CQI team activities as well as empowering hospital-wide QI implementation. Being several limitations, this study would be one of the report cards for the CQI team activities in intensive care unit of an acute hospital and a trial of quality improvement of health care in Korea.

  • PDF