• Title/Summary/Keyword: Weekly report

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First Infestation Case of Sarcoptic Mange from a Pet Rabbit Oryctolagus Cuniculus in Republic of Korea

  • Choe, Seongjun;Kim, Sungryong;Na, Ki-Jeong;Nath, Tilak Chandra;Ndosi, Barakaeli Abdieli;Kang, Yeseul;Bia, Mohammed Mebarek;Lee, Dongmin;Park, Hansol;Eamudomkarn, Chatanun;Jeon, Hyeong-Kyu;Eom, Keeseon S.
    • Parasites, Hosts and Diseases
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    • v.58 no.3
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    • pp.315-319
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    • 2020
  • In November 2019 a 5-month-old mixed-breed rabbit presented to Chungbuk National University Veterinary Teaching Hospital, Cheongju-si, Chungbuk, Republic of Korea (Korea) with symptoms comprising pruritus, crusts on skin, poor appetite and reduced defecation. The rabbit was purchased 2 months prior from a pet shop located in a big market, and that the symptoms were first observed about 2 weeks prior to the hospital visit. Physical examination revealed that the patient had crust formation and alopecia on the nose together with lesions on the digits. A skin scraping test was performed using mineral oil and a high density of mites was observed by microscopy. Each mite showed a round, tortoiselike body with 4 comparatively short pairs of legs. The anus was located at the terminal unlike with suspected pathogen, Notoedres cati. Based on morphological characteristics, we identified the mite as Sarcoptes sp. Ivermectin was administered weekly by subcutaneous injection at a dosage of 0.4 mg/kg, and 4 weeks of follow-up study revealed the patient was fully recovered. And no more mites were detected from the case. This is the first case report of sarcoptic mange in a pet rabbit in Korea.

The Effect of Postoperative Use of Teriparatide Reducing Screw Loosening in Osteoporotic Patients

  • Kim, Jae Wook;Park, Seung Won;Kim, Young Baeg;Ko, Myeong Jin
    • Journal of Korean Neurosurgical Society
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    • v.61 no.4
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    • pp.494-502
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    • 2018
  • Objective : The loosening of pedicle screws (PS) is one of the frequent problems of spinal surgery in the patients with osteoporosis. Previous studies had revealed that intermittent injection of teriparatide could reduce PS loosening by improving bone mass and quality when their patients took parathyroid hormone for a considerable duration before surgery. However, although the teriparatide is usually used after spine surgery in most clinical situations, there was no report on the efficacy of teriparatide treatment started after spine surgery. The purpose of this retrospective study was to examine the efficacy of teriparatide treatment started immediately after lumbar spinal surgery to prevent pedicle screw loosening in patients with osteoporosis. Methods : We included 84 patients with osteoporosis and degenerative lumbar disease who underwent transforaminal interbody fusion and PS fixation and received parathyroid hormone or bisphosphonate (BP) postoperatively. They were divided into teriparatide group (daily injection of $20{\mu}g$ of teriparatide for 6 months, 33 patients, 172 screws) and BP group (weekly oral administration of 35 mg of risedronate, 51 patients, 262 screws). Both groups received calcium (500 mg/day) and cholecalciferol (1000 IU/day) together. The screw loosening was evaluated with simple radiographic exams at 6 and 12 months after the surgery. We counted the number of patients with PS loosening and the number of loosened PS, and compared them between the two groups. Clinical outcomes were evaluated using visual analog scale (VAS) and Oswestry disability index (ODI) preoperatively, and at 12 months after surgery. Results : There was no significant difference in the age, sex, diabetes, smoking, bone mineral density, body mass index, and the number of fusion levels between the two groups. The number of PS loosening within 6 months after surgery did not show a significant difference between the teriparatide group (6.9%, 12/172) and the BP group (6.8%, 18/272). However, during 6-12 months after surgery, it was significantly lower in the teriparatide group (2.3%, 4/172) than the BP group (9.2%, 24/272) (p<0.05). There was no significant difference in the number of patients showing PS loosening between the teriparatide and BP groups. The teriparatide group showed a significantly higher degree of improvement of the bone mineral density (T-score) than that of BP group (p<0.05). There was no significant difference in the pre- and post-operative VAS and ODI between the groups. Conclusion : Our data suggest that the teriparatide treatment starting immediately after lumbar spinal fusion surgery could reduce PS loosening compared to BP.

The Influence of MMPI Characteristics on the Outcome of Cognitive Behavioral Therapy for Panic Disorder (공황장애 환자의 다면적 인성검사 (MMPI) 특성이 인지행동치료 결과에 미치는 영향)

  • Choi, Young-Hee;Lee, Jung-Heum
    • Korean Journal of Psychosomatic Medicine
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    • v.6 no.2
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    • pp.147-154
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    • 1998
  • Objective : This study was designed to find the characteristics of MMPI that could influence the outcome of cognitive behavioral therapy(CBT) for panic disorder. Methods : 34 patients who met DSM-IV criteria for panic disorder with or without agoraphobia had completed 11 weekly sessions of cognitive behavioral therapy. All the patients were assessed with MMPI before the initiation of treatment. Five self-report measures including Beck Depression Inventory(BDI), Spielberger State-Trait Anxiety Inventory(STAI), Agoraphobic Cognition Questionnarie(ACQ), Body Sensation Questionnaire(BSQ), and Daily Anxiety Selfrating (0 - 8 scales) were also assessed as a pre- and post-treatment assessment. After the completion of treatment, patients were classified by the High End-State(HES) functioning group and the Low End-State(LES) functioning group for the data analysis. Results : 1) The LES group showed significantly higher scores in Hypochondriasis Scale(HS), Depression Scale(D), Hysterical Scale(Hy), Obsessive Scale(Pt), Schizophrenia Scale(Sc) and Validity Scale(F) of MMPI than the HES group. However, these differences gave impressions that the LES group had more severe symptoms rather than that they could be the factors influencing the outcome of CBT. 2) Though, the severity of symptoms of the LES group in the 5 measures of pre-assessment was basically higher than that of the HES group. The fact that both group showed the similar improvement between pre- and post-assessment supported the above interpretation. Conclusion : In regarding the above results, MMPI was not a proper tool that could provide the factors influencing the outcome of CBT. In the future study, the authors need to use a different tool that can find the personality characteristics more directly.

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A Case of Urticaria occurred to a Breastfeeding Patient in Postpartum Period Treated with Korean Medicine (모유 수유 중인 산욕기 환자의 두드러기 치험 1례)

  • Kang, Dong-Won;Kang, Se-Hyun;Park, Jung-Gun;Hwang, Deok-Sang;Kim, Yoon-Bum;Kim, Kyu-Seok
    • The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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    • v.31 no.3
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    • pp.140-149
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    • 2018
  • Objectives : The aim of this study is to report the effect of herbal medicine and acupuncture on a breastfeeding woman's postpartum urticaria which was unresponsive to a 1st generation antihistamine and a topical steroid. Methods : Wheals and pruritus occurred to a 36-year-old breastfeeding woman 2 days after the parturition. Symptoms were unresponsive to about a week of systemic antihistamine and topical steroid treatments. GamiSamul-tang herbal decoction was administered three times a day for the first 21 days and twice a day for the next 10 days of the treatment. Acupuncture treatment was applied to 12 acupoints (both sides of LI04, LR03, ST36, LI11, SP10, SP6) for 15 minutes once a week, 5 times in total. The patient's symptom was evaluated with Weekly Urticaria Activity Scale (UAS7) and Visual Analogue Scale for Worst Pruritus within 24 hours ($VAS_{Pruritus}$) each time the patient visited out-patient department. Results : The scores of UAS7 and $VAS_{Pruritus}$ at the baseline were 38 and 8.2 respectively. 10 days after the herbal medicine and acupuncture treatment began, both decreased to 0 and wheal, pruritus, erythema didn't appeared again for the rest of the follow up periods. Conclusions : This study shows the possibility of using GamiSamul-tang and acupuncture to treat postpartum urticaria.

A Study of the Fluctuation factors and Model of Daily Visitors of National Park (국립공원의 이용자수 변동요인 및 추정모형에 관한 연구)

  • 안성노
    • Journal of the Korean Institute of Landscape Architecture
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    • v.17 no.2
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    • pp.27-39
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    • 1989
  • The purpose of this study is to prove the factors affecting the fluctuation of daily visitors in five mountainous national park(Kayasan, kyeryongsan, Naejangsan, Soraksan, Songnisan), and to analyze the relationship between these factors and daily visitors in Korea. "Three Factors and Nine Categories"(Aoki, K. & Aoki, Y. : 1974, 1979) has been applied to this study, and statistical analysis method was carried out by computer program SAS and SPSS. The number of daily visitors is calculated based on the data of "Daily entrance ticket sale report" by administration office in each national park. The scope of time period is during the last 5years(1982∼1986: 1825days) and the results were as follows: 1) There were significant differences in the number of daily visitors of each national park among months, days of a week and weather-the same as the previous study of urban park case. But it wold be better for their category classification to be adjusted according to the fluctuation pattern of each national park. 2) The peak of monthly visitors comes in May(Kayasan, Soraksan, Songnisan) or October(Kyeryongsan, Naejangsan). These months are specified as group tour season. On the basis of monthly fluctuation pattern, Each national park were classified into seasonal type, that is, kayasan, Soraksan were proved to be three-season type(Spring, Summer, Autumn), Songnisan to be two-season type(Spring, Autumn), and Naejangsan to be one-season type(Autumn). 3) The weekly pattern differs from three category (weekday, weekend, holiday: Eom, Choi 1986) in the case of urban park study. And there is no significant difference in daily fluctuation pattern by weather (fine, cloudy and rainy day), but significant difference between snowy and the others. This result is due to the characteristics of visitors, which is, the major visits of national park are planned in a advance of the tour, therefore it is difficult to change the plan by the weather. 4) the result of correlation analysis showed that the most influential factor on national park use in Kayasan, Naejangsan, Soraksan and Songnisan is ′Monthly characters (M)′, on the contrary ′Day of week(D)′ in Kyeryongsan only. From the result, The more parks are resource-based, the more ′Monthly characters′-factor is supposed to affect the number of daily visitors rather than ′Day of the week′-factor. This means that kayasan, naejangsan, Sorakson and Songnisan are classified into resource-based type, but on the other hand Kyeryongsan should be classified into intermediate type.

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A Case Report of Lumbar HIVD Treated with Korean Medicine on a Polycystic Kidney Patient (다낭신 환자의 요추 추간판탈출증에 대한 통합한방치료 1례)

  • Ju, Ah-ra;Ryu, Gwang-hyun;Park, Mi-so;Choi, Yo-sup;Choo, Won-jung;Chae, Ji-won
    • The Journal of Internal Korean Medicine
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    • v.41 no.2
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    • pp.132-140
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    • 2020
  • Objectives: This research study aimed to determine the effect of Korean medicine treatments on a patient with lumbar disc herniation accompanying polycystic kidney disease. Methods: Acupuncture, herbal medicine, pharmacopuncture, spine decompression therapy, Motion Style Acupuncture Treatment (MSAT), and Chuna were preceded for treatment. We checked the patient's Oswestry Disability Index (ODI), numeric rating scale (NRS), and straight leg raise test (SLRT) on admission and discharge; we also used the NRS and SLRT to evaluate the patient's symptoms on every third day during the hospital stay. Because it is important to manage blood urea nitrogen (BUN), serum creatinine, and blood pressure during the early stage of polycystic kidney disease, BUN and serum creatinine levels were checked weekly while blood pressure was checked every morning. Results: Twelve days after admission, the NRS for lower back pain and right leg pain decreased from 7 to 3 and from 7 to 2, respectively. The ODI value also decreased from 56 to 20 while the SLRT value increased from 30/70 to 60/70. The BUN and serum creatinine levels and the blood pressure readings were all within normal range every time they were checked. Conclusions: The use of Korean medicine treatments resulted in improvements in NRS, ODI, and SLRT on a patient with a herniated lumbar disc herniated who had a past history of polycystic kidney disease; thus, the patient was able to maintaining kidney functioning. Herbal medicine, an alternative method of analgesic anti-inflammatory drugs that has been evaluated as relatively safe on liver and kidney function, could be suggested on a patient with a past history of polycystic kidney disease to maintain kidney function when renal function and blood pressure are monitored.

Effect on quanti-quality milk and mozzarella cheese characteristics with further increasing the level of dried stoned olive pomace in diet for lactating buffalo

  • Taticchi, A.;Bartocci, S.;Servili, M.;Di Giovanni, S.;Pauselli, M.;Mourvaki, E.;Zilio, D. Meo;Terramoccia, S.
    • Asian-Australasian Journal of Animal Sciences
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    • v.30 no.11
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    • pp.1605-1611
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    • 2017
  • Objective: Following a previous report, an experiment was conducted to determine the effect of increasing level of dried stoned olives pomaces (DSOP) in the diet of lactating buffaloes on milk and mozzarella cheese yield and characteristics. Methods: Sixteen pluriparous buffaloes distributed into two groups were fed an isoenergetic (0.9 milk forage unit/kg) and isoprotein (149 g/kg dry matter [DM] of crude protein) diet, with or without DSOP. Each animal received 17 kg DM/d. Samples of forages and concentrates were weekly collected and used for duplicate chemical analyses. Individual milk samples from each control were analyzed for chemical and coagulating parameters and daily production of mozzarella cheese was estimated. At the end of the trial, bulk milk of each group was processed to produce mozzarella cheese and chemical (fat, protein, ash, pH) composition, fatty acids composition, carotenoids and tocopherols content were determined. A sensory test was also performed. The oxidative stability was measured on mozzarella cheese and on governing liquid. Results: No significant differences were observed, neither for milk yield and body condition score, nor for milk characteristics. The fat was higher (p<0.05) in mozzarella of DSOP fed group but, saturated fatty acids were lower and unsaturated higher (p<0.01). Furthermore, lower atherogenic (p<0.01), and thrombogenic (p<0.05) indices were found in mozzarella cheese of DSOP fed group. In addition, the administration of DSOP did not affect the mozzarella cheese oxidative stability and no negative effect was found in the sensory properties. Conclusion: No contraindications appeared for the inclusion of DSOP in the diet of lactating buffaloes. Besides, important effects on mozzarella cheese quality were obtained, such as a modification of fat content and attributes with an increment in the mono-unsaturated. Additionally, a lower saturated/unsaturated ratio and atherogenic and thrombogenic indices suggest an improvement of dietetic and nutritional characteristics of mozzarella cheese.

A Case of Adult Otitis Media with Effusion Accompanied by Atopic Dermatitis (아토피피부염을 동반한 성인 삼출성 중이염 치험례)

  • Song, Ji-Hoon;Yu, Pei-Yen;Kim, Jong-Han;Jung, Min-Yeong;Choi, Jung-Hwa;Park, Soo-Yeon
    • The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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    • v.35 no.2
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    • pp.95-104
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    • 2022
  • Objectives : This study is to report a case of otitis media with effusion accompanied by atopic dermatitis improved by Korean medicine monotherapy. Methods : A 31-year-old woman patient visited our clinic for aural fullness, hearing loss, and tinnitus of the left ear on August 14th, 2021. She also had abdominal pain, diarrhea, and general weakness because of side effects of antibiotics. Besides, she had nasal congestion, rhinorrhea, and dry skin. Through otoscopy, her tympanum was fully filled with yellow effusion. She only took Korean medicine therapy including acupuncture and herbal medicine weekly. The treatment continued for about 4 months(total 14 visits) until December 4th, 2021. Otoscopy, numerical rating scale(NRS), scoring atopic dermatitis(SCORAD) index were used to assess the symptoms. Results : On August 30, 2021, her intestinal symptoms improved. The left tympanum was recovered to normal condition as the treatment continued. The effusion disappeared on October 16th, 2021. On November 6th, 2021, peritympanic blood congestion also almost alleviated. Subjective symptoms including aural fullness, hearing loss, and tinnitus disappeared on October 16, 2021. Nasal symptoms and dry skin also improved. The SCORAD index dropped from 15 to 4. Conclusions : These results suggests that otitis media with effusion can be sufficiently managed by Korean medicine therapy. Further, active application of Korean medicine therapy to common otolaryngological diseases is necessary.

A Case of Atopic Dermatitis Accompanying Seborrheic Capitis and Nummular Eczema (두피 지루피부염과 화폐상 습진을 동반한 아토피피부염 환자 치험 1례)

  • Song, Ji-Hoon;Jung, Min-Yeong;Kim, Jong-Han;Choi, Jung-Hwa;Park, Soo-Yeon
    • The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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    • v.35 no.1
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    • pp.91-104
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    • 2022
  • Objectives : The objective of this study is to report a case of a male atopic dermatitis patient accompanying seborrheic capitis and nummular eczema improved by Korean medicine therapy and lifestyle modification. Methods : A male patient was hospitalized for eczematous lesions in the head, face, and both hands which relapsed on March 2021. For 15 days, he took Korean medicine therapy including acupuncture, Bangpungtongseongsan-gagam, pharmacopuncture, and wet dressing with Hwangryunhaedok-tang. Simultaneously, lifestyle correction also conducted during administration. On the other hand, corticosteroid and antihistamine were prescribed from internal medicine of our hospital for the first 10 days because of severe skin lesions. As an outpatient, he was continuously treated by the same Korean medicine therapy except herbal decoction weekly for about 7 months after discharge. To assess symptoms, scoring atopic dermatitis(SCORAD) index, taking photos, and numerical rating scale(NRS) were used. Results : After 15 days of hospitalization, the SCORAD index decreased to 30.0, which was about a half of the initial SCORAD index(61.2). NRS score also dropped from 6 to 3. Despite stopping western medicine administration, skin lesions and subjective symptoms of the patient were steadily improved without aggravation. For 7 months of continued outpatient treatment, atopic dermatitis were steadily ameliorated despite temporary aggravation and improvement of symptoms, and seborrheic capitis was not relapsed. The final SCORAD index and NRS on November 9th, 2021 were 24.7 and 1, respectively. Conclusions : These results suggests that Korean medicine therapy contributes to improving SCORAD index, subjective symptoms, and skin lesions of the patient. Furthermore, lifestyle modification is also important as much as proper treatment for caring atopic dermatitis patients.

Monitoring of Heavy Metals in Fruits in Korea (유통 중인 과일류의 중금속 모니터링)

  • Lee, Jin-Ha;Seo, Ji-Woo;An, Eun-Sook;Kuk, Ju-Hee;Park, Ji-Won;Bae, Min-Seok;Park, Sang-Wook;Yoo, Myung-Sang
    • Korean Journal of Food Science and Technology
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    • v.43 no.2
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    • pp.230-234
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    • 2011
  • According to the Codex committee, the maximum allowable level for lead in fruits is 0.1 mg/kg. This survey was conducted as a surveillance program following the establishment of safety guideline for fruits in Korea. Concentrations of lead (Pb), cadmium (Cd), arsenic (As) and mercury (Hg) were measured in 927 samples using a ICP-MS and a mercury analyzer. The recoveries of microwave digestion method were 86.0-110.4% for Pb, 81.0-104.0% for Cd and 82.0-104.7% for As by standard addition method. The recovery of direct mercury analyzer was 106.5% for Hg. The average levels of Pb in ${\mu}g/kg$ were $10.0{\pm}12.8$ for apple, $8.8{\pm}10.9$ for pear, $4.1{\pm}4.4$ for persimmons, $14.9{\pm}12.3$ for mandarin, $7.1{\pm}6.5$ for orange, $3.1{\pm}3.3$ for banana, $8.8{\pm}8.9$ for kiwi, and $9.3{\pm}9.7$ for mango. The average levels of Cd in ${\mu}g/kg$ were $0.4{\pm}0.3$ for apple, $2.0{\pm}1.6$ for pear, $0.3{\pm}0.3$ for persimmon, $0.1{\pm}0.1$ for mandarin, $0.1{\pm}0.1$ for orange, $1.3{\pm}1.8$ for banana, $0.5{\pm}0.5$ for kiwi, and $0.7{\pm}0.6$ for mango. The average levels of As in ${\mu}g/kg$ were $2.0{\pm}2.1$ for apple, $1.2{\pm}1.3$ for pear, $1.5{\pm}1.2$ for persimmon, $0.8{\pm}0.3$ for mandarin, $1.5{\pm}0.5$ for orange, $1.8{\pm}1.2$ for banana, $1.6{\pm}1.5$ for kiwi, and $1.2{\pm}1.5$ for mango. The average levels of Hg in ${\mu}g/kg$ were $0.5{\pm}0.4$ for apple, $0.3{\pm}0.2$ for pear, $0.2{\pm}0.1$ for persimmon, $0.2{\pm}0.1$ for mandarin, $0.2{\pm}0.1$ for orange, $0.2{\pm}0.0$ for banana, $0.2{\pm}0.2$ for kiwi, and $0.6{\pm}0.2$ for mango. Based on the Korean public nutrition report 2005, these levels (or amounts) are calculated only at 0.17% for Pb, 0.013% for Cd and 0.006% for Hg of those presented in provisional tolerable weekly Intake (PTWI) which has been established by FAO/WHO. Therefore, the levels presented here are presumed to be adequately safe.