• 제목/요약/키워드: Symptomatic

검색결과 1,408건 처리시간 0.029초

만성두드러기에 대한 임상적 고찰 (Clinical study of Chronic Urticaria)

  • 김혜정
    • 한방안이비인후피부과학회지
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    • 제15권2호
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    • pp.252-260
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    • 2002
  • Introduction Urticaria is widely spread disease. About 15-20 $\%$ of population has experienced at least once in a life time. The etiology of urticaria is uncertain till now, and the affcting factors are various chemical material, physical factors, alcohol, fever, exercise, and hormone, etc. The symptoms of urticaria are small or large wheal-erythema reaction and itching or tingling sense. Cause there is no probe to detect the urticaria clearly, the treatment of urticaria is symptomatic. And mostly urticaria can be chronic and very hard to treat it fundamentally. Nowadays, many trials to treat the urticaria in oriental medical way show good curability. In this paper I'd like to report the treatment rate and degree of urticaria patients mostly using anti-histamine medication. Subjects From the outpatients who visited Korean Hospital of Kyunghee Kangnam during 2000-4 and 2002-1, the 36 chronic urticaria patients, at least more than 4 weeks from onset and 2weeks of treatment period, were chosen. Methods I evaluated the results of treatment with the following scale. Very Good: The all symptoms are clearly disappeared or one third of symptoms remain and sometimes eruption is appeared. Good: Half of the symptoms are improved but most of symptoms remain. No Change: No change appears before and after treatment. Worse: The degree and duration of eruption get worse than pre-treatment state. Results For Acupuncture treatment, I chose the several Acu points like Hapgok(합곡), Taichung(대충), Gokji(곡지), Yanggok(양곡), Yanggea(양계), and lmeup(족임읍), and usually lasted it 15 minutes. With the acupuncture treatment and herb medicine, 2-3 times a week, the patients whose treatment period was 2 to 4 weeks were 17(47.2$\%$), 4 to 8 weeks were 11(30.5$\%$), 8 to 12 weeks were 3(8.3$\%$), 12 to 16 weeks were 3(8.3$\%$), longer than 16 weeks were 2(5.5$\%$) Collecting the statistics of the frequency of prescripted herb medicine, Hyangsosan(향소산) was prescripted 21 times(58.3$\%$), Hyangsapyungwisan(향사평위산) was 15 times(41.6$\%$), Hwapisan(화피산) was 9 times(25$\%$), Yangwitang(양위탕) was 6 times(16.6$\%$), Bojungikkitang(보중익기탕가미) was 4 times(11.1$\%$), Yongdamsagantang (용담사간탕가미) was 4 times(11.1$\%$). The result of the treatments, evaluating with mentioned rate scale, was 11 cases(30.5$\%$) were Very Good degree, 19 cases(52.7$\%$) were Good , 6 cases(16.6$\%$) were No Change. No cases were Worse degree. Conclusion According to this research, we could say that chronic urticaria can be treated with Oriental medical methods. But more precise probes in both Oriental and Western medicine to diagnose the chronic urticaria should be established and we need to make standards for testing and diagnosing the chronic urticaria.

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중소도시 일 유방클리닉 방문 여성의 유방암 검진현황 -의무기록을 이용한 후향적 조사연구- (The status of breast cancer screening of women at a breast clinic in a small city in Korea -Using medical records-)

  • 이혜원;김영미
    • 디지털융복합연구
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    • 제19권10호
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    • pp.491-500
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    • 2021
  • 유방암 환자의 제 특성을 파악하여, 유방암 조기 검진의 중요성과 젊은 유방암의 심각성을 알리기 위해 시행하였다. 2010년 5월 1일부터 2020년 4월 30일까지(10년간) 일 유방 클리닉에 내원한 환자 23,200명 중 유방암으로 진단받은 483명의 의무기록을 이용한 후향적 조사연구이다. 유방암으로 진단받은 483명의 나이는 40대(36.0%)가 가장 많았으며, 30대(25.9%)가 다음으로 많았다. 유방암 가족력이 있는 경우가 5.4%, 폐경 상태는 29.2%였으며, 내원 동기로는 종괴가 54.2%로 가장 많았고, 유방 검진 경험은 출산 경험자가 비출산자보다 많았으며, 20-30대에서 유방검사 경험이 가장 적었다. 젊은 여성을 대상으로 유방암 검진의 중요성을 교육할 필요가 있으며, 유방암의 국가암검진 연령에 대한 재검토를 제언한다.

환자의 주관적 증상 텍스트에 대한 진료과목 분류 모델 구축 (Classification Modeling for Predicting Medical Subjects using Patients' Subjective Symptom Text)

  • 이서희;강주영
    • 한국빅데이터학회지
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    • 제6권1호
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    • pp.51-62
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    • 2021
  • 의료 인공지능 분야에서 의사의 판단에 도움을 줄 수 있는 질환 예측 및 분류 알고리즘에 대해선 많은 연구가 이뤄져왔지만, 의료 소비자의 정보 획득과 판단에 도움을 줄 수 있는 인공지능에 대해선 상대적으로 관심이 적다. 네이버 지식인에 지난 1년 간 자신의 증상엔 어떤 병원을 가야할 지 질문하는 질문 건수만 해도 15만 건이 넘는다는 사실은 의료소비자들에게 적합한 의료정보의 제공이 필요하다는 반증이기도 하다. 따라서 본 연구에선 의료소비자들이 자신의 증상에 대한 진료과목을 선택하는데 도움을 줄 수 있도록 네이버 지식인에서 환자들이 직접 서술한 증상 텍스트를 수집하여 8개 진료과목을 분류하는 분류모델을 구축했다. 우선 환자의 주관이 개입된 데이터의 타당성과 객관성을 확보하기 위해 객관적 증상 텍스트(서울응급의료 정보센터에서 정리한 진료과목 별 주요 질환 증상)와 주관적 증상 텍스트(지식인 데이터) 간 유사도 측정을 수행하였다. 유사도 측정 결과, 두 텍스트가 동일한 진료과목의 증상일 경우 상이한 진료과목의 증상 텍스트에 비해 상대적으로 높은 유사성을 가진다는 것을 입증했다. 상기 절차를 따라 타당성을 확보한 주관적 증상 텍스트를 대상으로 릿지회귀모델을 사용하여 분류모델을 구축한 결과 0.73의 정확도를 확보할 수 있었다.

Prognostic Factors in Patients Treated with DrugCoated Balloon Angioplasty for Symptomatic Peripheral Artery Disease

  • Sigala, Fragiska;Galyfos, George;Stavridis, Kyriakos;Tigkiropoulos, Konstantinos;Lazaridis, Ioannis;Karamanos, Dimitrios;Mpontinis, Vangelis;Melas, Nikolaos;Zournatzi, Ioulia;Filis, Konstantinos;Saratzis, Nikolaos
    • Vascular Specialist International
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    • 제34권4호
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    • pp.94-102
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    • 2018
  • Purpose: Aim of this study is to report real-life experience on the treatment of peripheral artery disease (PAD) with a specific drug-coated balloon (DCB), and to evaluate potential prognostic factors for outcomes. Materials and Methods: This is a retrospective study reporting outcomes in patients with PAD who were treated with the Lutonix DCB during a four-year period. Major outcomes included: all-cause mortality, amputation, clinical improvement, wound healing and target lesion revascularization (TLR). Mean follow-up was $24.2{\pm}2.3$ months. Results: Overall, 149 patients (mean age: $68.6{\pm}8.3$ years; 113 males) were treated, either for intermittent claudication (IC) (n=86) or critical limb ischemia (CLI) (n=63). More than half the target lesions (n=206 in total) were located in the superficial femoral artery and 18.0% were below-the-knee lesions. CLI patients presented more frequently with infrapopliteal (P=0.002) or multilevel disease (P=0.0004). Overall, all-cause mortality during follow-up was 10.7%, amputation-free survival was 81.2% and TLR-free survival was 96.6%. CLI patients showed higher all-cause mortality (P=0.007) and total amputation (P=0.0001) rates as well as lower clinical improvement (P=0.0002), compared to IC patients. Coronary artery disease (CAD), gangrene and infrapopliteal disease were found to be predictors for death whereas CLI and gangrene were found to be predictors for amputation, during follow-up. Conclusion: PAD treatment with Lutonix DCBs seems to be an efficient and safe endovascular strategy yielding promising results. However, CAD, gangrene, CLI and infrapopliteal lesions were found to be independent predictors for adverse outcomes. Larger series are needed to identify additional prognostic factors.

Differences in isolates of Tomato yellow leaf curl virus in tomato fields located in Daejeon and Chungcheongnam-do between 2017 and 2018

  • Oh, June-Pyo;Choi, Go-Woon;Kim, Jungkyu;Oh, Min-Hee;Kim, Kang-Hee;Park, Jongseok;Domier, Leslie L.;Hammond, John;Lim, Hyoun-Sub
    • 농업과학연구
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    • 제46권3호
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    • pp.507-517
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    • 2019
  • To follow up on a 2017 survey of tomato virus diseases, samples with virus-like symptoms were collected from the same areas (Buyeo-gun, Chungchungnam-Do and Daejeon, Korea) in 2018. While in 2017 mixed infections of Tomato mosaic virus with either Tomato yellow leaf curl virus (TYLCV) or Tomato chlorosis virus were detected, only TYLCV was detected in symptomatic samples in 2018. TYLCV amplicons of c.777 bp representing the coat protein (CP) coding region were cloned from the TYLCV positive samples, and the sequence data showed a 97.17% to 98.84% nucleotide and 98.45% to 99.22% amino acid identity with the 2017 Buyeo-gun isolate (MG787542), which had the highest amino acid (aa) sequence identity of up to 99.2% with four 2018 Buyeo-gun sequences (MK521830, MK521833, MK521834, and MK521835). The lowest aa sequence identity of 98.45% was found in a 2018 Daejeon isolate (MK521836); the distance between Buyeo-gun and Daejeon is about 45 km. Phylogenetic analysis indicated that the currently reported CP sequences are most closely related to Korean sequences from Masan (HM130912), Goseong (JN680149), Busan (GQ141873), Boseong (GU325634), and the 2017 isolate TYLCV-N (MG787543) in the 'Japan' cluster of TYLCV isolates and distinct from the 'China' cluster isolates from Nonsan (GU325632), Jeonju (HM130913) and Jeju (GU325633, HM130914). Our survey data from 2017 and 2018 suggest that TYLCV has become established in Korea and may be spread by whitefly vectors from weed reservoirs within the farm environment.

Long Term Outcome of In-Stent Stenosis after Stent Assisted Coil Embolization for Cerebral Aneurysm

  • Kim, Sung Jin;Kim, Young-Joon;Ko, Jung Ho
    • Journal of Korean Neurosurgical Society
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    • 제62권5호
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    • pp.536-544
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    • 2019
  • Objective : The objective of this study was to evaluatelong-term radiologic prognosis and characteristics of in-stent stenosis (ISS) after stent assisted coiling (SAC) for cerebral aneurysm and analyze its risk factors. Methods : Radiological records of 362 cases of SAC during 10 years were retrospectively reviewed. Patients were included in this study if they had follow-up angiogram using catheter selected angiography at least twice. All subjected were followed up from 12 months to over 30 months. Of 120 patients, 123 aneurysms were enrolled. Patient data including age, sex, aneurysm size, neck size, procedural complication, kinds of stent, ISS associated symptom, ruptured state, location of ISS, degree of ISS, radiologic prognosis of ISS, follow-up period of time, and medical comorbidities such as hypertension, diabetes mellitus (DM), dyslipidemia, and smoking were collected.Statistical comparisons of group clinical characteristics were conducted for the total population. Results : Among 123 casesof aneurysm, 22 cases (17.9%) of ISS were revealed on follow-up angiography. Multiple stenting was performed in three cases and intra-procedural rupture occurred in two cases. Most cases were asymptomatic and symptomatic stenosis was identified in only one case. Sixteen cases were ruptured aneurysm. Mild stenosis was observed in 11 cases. Moderate stenosis was found in eight cases and severe stenosis was identified in three cases. Mean timing of identification of ISS was 8.90 months. The most common type was proximal type. Most cases were improved or not changed on follow-up angiography. Only one case was aggravated from mild stenosis to occlusion of parent artery. Mean follow-up period was 44.3 months. We compared risk factors and characteristic between ISS group and non-ISS group using univariate analysis. Multiple stenting was performed for three cases (13.6%) of the ISS group and four cases (4.0%) of the non-ISS group, showing no statistical difference between the two groups (p=0.108). Additionally, the proportion of patients who had more than two risk factors among four medical risk factors (hypertension, DM, dyslipidemia, and smoking) was higher in the ISS group than that in the non-ISS group, the difference between the two was not statistically significant either (31.8% vs. 12.9%, p=0.05). Conclusion : Clinical course and long-term prognosis of ISS might be benign. Most cases of ISS could be improved or not aggravated. Control of medical co-morbidity might be important. To the best of our knowledge, our study had more cases with longer follow-up period of time than other reports.

Pseudomonas viridiflava에 의한 오이 점무늬병의 발생 보고 (First Report of Pseudomonas viridiflava Causing Leaf Spot of Cucumber in Korea)

  • 서윤희;박미정;백창기;박종한
    • 식물병연구
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    • 제24권4호
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    • pp.328-331
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    • 2018
  • 2018년 4월 전북 김제 오이 육묘장에서 오이의 자엽과 본엽에 반점이 형성되고 괴사되는 증상이 관찰되었다. 초기증상은 물방울이 잘 맺히는 자엽 부근에서 시작되었고, 병증상이 확대되면 본엽에 반점이 생기면서 백화 되어 마르는 증상이 관찰되었다. 세균병이 의심되는 식물체를 채집하여 LB agar에 계대하였다. 분리한 한 균주를 가지고 LOPAT test를 수행한 결과, KB agar에서 형광발현, 감자절편에서 무름 증상이 나타나며, Arginine dihydrolase 음성임을 확인하였다. oxidase를 형성하지 않고 담배과민성 실험에서 양성인 것을 확인하여 LOPAT 2그룹에 속하는 것을 확인하였다. 병원성 실험은 발아 후 3주된 오이에 접종하여 접종 3일 후 병징이 동일하게 발생된 것을 확인하였다. 16s rDNA 유전자 염기서열을 이용하여 염기서열분석과 계통수를 분석하여 분리된 균주가 P. viridiflava로 동정되었다. 이 병은 국내에서 처음으로 P. viridiflava에 의해 발생되는 오이점무늬병으로 보고하고자 한다.

국내 지황에 발생하는 바이러스병 발생 현황 (The Incidence of Virus Diseases in Rehmannia glutinosa in Korea)

  • 권선정;윤주연;조인숙;최국선
    • 식물병연구
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    • 제25권1호
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    • pp.38-42
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    • 2019
  • 최근 국내 지황에서는 Rehmannia mosaic virus (ReMV), Youcai mosaic virus (YoMV), Broad bean wilt virus 2 (BBWV2), Plantago asiatica mosaic virus (PlAMV), Rehamnnia virus 1 (ReV1) 등 5종의 바이러스 감염이 확인되었다. 국내 주요 지황 재배지역의 포장에서 지황 바이러스의 발병률을 조사하기 위해 2017년부터 2018년까지 여섯 지역의 포장에서 바이러스병 조사를 실시하였다. 지황에 나타나는 주요 바이러스 증상은 잎에 모자이크와 노란 반점 및 변색이었으며 생육이 저조해지는 증상이 관찰되었다. 총 145개의 시료를 채집하여 5종 바이러스에 대한 유전자 진단을 실시한 결과, 전 시료에서 2종 이상의 바이러스가 복합 감염되어 있음을 확인하였다. 지황은 뿌리로 영양번식하는 재배 특성 상 품종별 종근에서도 바이러스 감염여부를 조사하였으며, 종근에서도 5종의 바이러스가 검정됨에 따라 지황에서의 바이러스병 관리를 위해서는 무병 종근의 생산 및 보급이 매우 중요할 것으로 판단된다.

블록체인 기반의 집단감염 모니터링 시스템의 상용화 연구 (A Study on the Commercialization of a Blockchain-based Cluster Infection Monitoring System)

  • 서용모;황정훈
    • 한국콘텐츠학회논문지
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    • 제21권10호
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    • pp.38-47
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    • 2021
  • 본 연구는 블록체인 기반의 집단방역관리 시스템 및 상용화 모델이다. 본 시스템의 구성은 웨어러블 기기로부터 생성된 측정값에 기반하여 생체정보를 생성하는 생체정보생성부와 이곳에서 생성된 생체정보를 방역관리 플랫폼으로부터 전송하는 생체정보 전송부, 공동체서버에서 전송된 조치정보를 방역관리 플랫폼으로부터 수신하는 조치정보 수신부를 포함하는 시스템이다. 또한, 단말기로부터 생체정보를 수집하는 생체정보수신부와 상기 생체정보 수신부를 통해 생성된 생체정보를 블록체인 암호화 기술에 기반하여 암호화하는 암호부 및 감염병에 대한 증상을 데이터베이스화하여 증상정보를 저장하는 감염진단 데이터베이스로 구성된다. 생성된 데이터베이스는 유증상자로 확인된 사용자의 단말기로부터 위치정보를 수신하여 해당 사용자의 위치를 확인하는 위치정보 확인부와 위치가 확인된 후 사용자의 위치에 기반하여 해당 사용자가 공동체에 도착하였는지 판단하는 공동체도착 판단부를 포함하고 있다. 그리고 공동체 서버는 생성된 정보들 간의 상호작용을 돕는다. 이러한 블록체인 기반의 집단방역관리 시스템은 기존의 방역관리체계를 고도화하며 더욱 안전하고 건강한 사회를 구현하는데 도움을 줄 수 있다.

Ginseng gintonin alleviates neurological symptoms in the G93A-SOD1 transgenic mouse model of amyotrophic lateral sclerosis through lysophosphatidic acid 1 receptor

  • Nam, Sung Min;Choi, Jong Hee;Choi, Sun-Hye;Cho, Hee-Jung;Cho, Yeon-Jin;Rhim, Hyewhon;Kim, Hyoung-Chun;Cho, Ik-Hyun;Kim, Do-Geun;Nah, Seung-Yeol
    • Journal of Ginseng Research
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    • 제45권3호
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    • pp.390-400
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    • 2021
  • Background: We recently showed that gintonin, an active ginseng ingredient, exhibits antibrain neurodegenerative disease effects including multiple target mechanisms such as antioxidative stress and antiinflammation via the lysophosphatidic acid (LPA) receptors. Amyotrophic lateral sclerosis (ALS) is a spinal disease characterized by neurodegenerative changes in motor neurons with subsequent skeletal muscle paralysis and death. However, pathophysiological mechanisms of ALS are still elusive, and therapeutic drugs have not yet been developed. We investigate the putative alleviating effects of gintonin in ALS. Methods: The G93A-SOD1 transgenic mouse ALS model was used. Gintonin (50 or 100 mg/kg/day, p.o.) administration started from week seven. We performed histological analyses, immunoblot assays, and behavioral tests. Results: Gintonin extended mouse survival and relieved motor dysfunctions. Histological analyses of spinal cords revealed that gintonin increased the survival of motor neurons, expression of brain-derived neurotrophic factors, choline acetyltransferase, NeuN, and Nissl bodies compared with the vehicle control. Gintonin attenuated elevated spinal NAD(P) quinone oxidoreductase 1 expression and decreased oxidative stress-related ferritin, ionized calcium-binding adapter molecule 1-immunoreactive microglia, S100β-immunoreactive astrocyte, and Olig2-immunoreactive oligodendrocytes compared with the control vehicle. Interestingly, we found that the spinal LPA1 receptor level was decreased, whereas gintonin treatment restored decreased LPA1 receptor expression levels in the G93A-SOD1 transgenic mouse, thereby attenuating neurological symptoms and histological deficits. Conclusion: Gintonin-mediated symptomatic improvements of ALS might be associated with the attenuations of neuronal loss and oxidative stress via the spinal LPA1 receptor regulations. The present results suggest that the spinal LPA1 receptor is engaged in ALS, and gintonin may be useful for relieving ALS symptoms.