• 제목/요약/키워드: West

검색결과 7,281건 처리시간 0.038초

중풍 뇌 질환의 한 방향 협진에 관한 임상적 고찰 (Clinical Observation on East-West Integration Treatment in Stroke and Brain Disease)

  • 신애숙;이인환;김나희;김혜미;김민경;심소라;조승연;박성욱;박정미;배형섭;고창남
    • 대한중풍순환신경학회지
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    • 제11권1호
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    • pp.9-17
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    • 2010
  • Objectives : This study was aimed to evaluate the current status of East-West integrated treatment in stroke and brain disease and to discuss further plans. Methods : The medical records of patients who visited the stroke and brain disease center at Kyung Hee University, East-West Neo Medical Center from May 2006 to August 2010 were evaluated. The general characteristics of patients who underwent integrated treatment, trend in the number of cross referrals were initially evaluated. Later major disorders, the reasons of referrals and the number of visits in outpatients were analyzed. Results : 1. 3496 patients were referred from the eastern medical hospital to the western medical hospital and 2440 patients from the western medical hospital to the eastern medical hospital. The number of patients reached a peak alter the opening of the hospital and has decreased from then on. Referrals of female patients were more than those of male patients and patients over 50 years old were the most. 2. Admitted patients with stroke of chronic stage were most commonly referred from the eastern medical hospital to the western medical hospital and cerebral infarction was most common from the western medical hospital to the eastern medical hospital. Among the outpatients cerebral infarction topped from east to west, and stroke of chronic stage from west to east. 3. 36.6% of the patients from east to west received integrated treatment more than 3 times and 28.6% from west to east. Headache was the second most common reason to be referred from west to east and 36.7% of patients didn't continue to have either of the treatment and 30.3% received eastern treatment only, Conclusions: According to this study, chronic stroke management was successfully performed in the outpatient clinic in the form of East-West integration treatment. Further research on other diseases such as headache is recommended.

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Diagnostic Accuracy of 18F-FDG-PET in Patients with Testicular Cancer: a Meta-analysis

  • Zhao, Jing-Yi;Ma, Xue-Lei;Li, Yan-Yan;Zhang, Bing-Lan;Li, Min-Min;Ma, Xue-Lei;Liu, Lei
    • Asian Pacific Journal of Cancer Prevention
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    • 제15권8호
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    • pp.3525-3531
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    • 2014
  • Objective: Fluorine-18-fluorodeoxyglucose positron emission tomography (18F-FDG-PET) is a new technique for identifying different malignant tumors using different uptake values between tumor cells and normal tissues. Here we assessed the diagnostic accuracy of 18F-FDG-PET in patients with testicular cancer by pooling data of existing trials in a meta-analysis. Methods: PubMed/MEDLINE, Embase and Cochrane Central Trials databases were searched and studies published in English relating to the diagnostic value of FDG-PET for testicular cancer were collected. The summary receiver operating characteristic (SROC) curve was used to examine the FDG-PET accuracy. Results: A total of 16 studies which included 957 examinations in 807 patients (median age, 31.1 years) were analyzed. A meta-analysis was performed to combine the sensitivity and specificity and their 95% confidence intervals (CIs), from diagnostic odds ratio (DOR), positive likelihood ratios (PLR), negative likelihood ratio (NLR). SROC were derived to demonstrate the diagnostic accuracy of FDG-PET for testicular cancer. The pooled sensitivity and specificity were 0.75 (95% confidence interval (CI), 0.70-0.80) and 0.87 (95% CI, 0.84-0.89), respectively. The pooled DOR was 35.6 (95% CI, 12.9-98.3). The area under the curve (AUC) was 0.88. The pooled PLR and pooled NLR were 7.80 (95% CI, 3.73-16.3) and 0.31 (95% CI, 0.23-0.43), respectively. Conclusion: In patients with testicular cancer, 18F-FDG-PET demonstrated a high SROC area, and could be a potentially useful tool if combined with other imaging methods such as MRI and CT. Nevertheless, the literature focusing on the use of 18F-FDG-PET in this setting still remains limited.

동맥경화증이 유발된 $ApoE^{(-/-)}$ mouse에서 소풍활혈탕(疎風活血湯)과 Clopidogrel의 병용투여 효과에 대한 연구 (Effects of Concurrent Administration of Sopunghwalhyeol-tang and Clopidogrel on Atherosclerosis in the $ApoE^{(-/-)}$ Mouse)

  • 이범준;오세춘;김영찬;이정숙;강덕희;이우경;이영일;류재환
    • 대한한의학회지
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    • 제31권5호
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    • pp.124-135
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    • 2010
  • Background and Objective: Atherosclerosis is a diffuse, systemic disease that affects the coronary, cerebral, and peripheral arterial trees. Clopidogrel is widely used antiplatelet agent and its efficacy has been proven in cardiac and extracardiac vascular diseases, but it has several side effects. Therefore we investigated whether Sopunghwalhyeoltang, which is widely used for treating the blood stasis syndrome in traditional medicine, could decrease the side effect of antiplatelets and have a synergic effect. Methods & Materials: Male $ApoE^{(-/-)}$ mice were randomly divided into three different experimental groups, non-treated group (Control group), clopidogrel-treated group (CP group) and clopidogrel with Sopunghwalhyeol-tang treated group (CPS group). The control group was fed with only an atherogenic diet, the CP group an atherogenic diet plus clopidogrel 25mg/kg and the CPS group an atherogenic diet plus clopidogrel 25mg/kg with Sopunghwalhyeol-tang 100 mg/kg. We investigated plasma lipids with liver function test, and performed a histological investigation of liver and abdominal aorta. Results: 1. Photomicrographs of liver and abdominal aorta tissue showed lower histological injury and lipid accumulation in the CP and CPS groups than those in the Control group. 2. In the CPS group, plasma triglyceride level was significantly lower than in the Control and CP groups. 3. In the CPS group, the plasma aspartate aminotransferase (AST) level was significantly lower than in the CP group. Conclusions: The above results shows that a combined treatment of Sopunghwalhyeol-tang and clopidogrel have a synergic effect through inhibiting vessel injury and decrease the side effects of clopidogrel alone.

샘 셰퍼드의 "진짜 서부" : 이상과 현실 (Sam Shepard's True West Ideal and actuality)

  • 김인표
    • 영어어문교육
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    • 제10권3호
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    • pp.143-157
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    • 2004
  • Sam Shepard is one of the leading American playwrights who represented Off-Off Broadway in the l960s and 1970s. In his early days, he wrote many experimental plays but later he turned to realism. However, under the superficial realism in his later plays, we find that they contain experimental devices and themes. True West (1980) is the last play of ills realistic family trilogy. This play shows that the tradition of Old West, which is symbolized and replaced by desert, disappeared in the industrialized clues of modern West. The Old West is compared which the modern West through the struggle of two brothers, Lee and Austin. Their father, 'Old Man', ran out on his family and went to the desert but did not succeed there. He shows that he failed in achieving the American Dream. The family appears unusual and demolished The relationships of the characters are not based on love and belief. The family symbolizes the negative aspects of modern American society. After Austin recognizes the actual situation finding that there is no real life in the modern West, he tries to leave the city and his family. He wants to go to the desert in search of a new life. However, in the last tableau Lee blocks the exit and the two brothers square off. It implies that they are doomed to continue their struggle. The message Implies that American society today is lacking the same positive values they once had in the Old West.

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한국 서해에 출현하는 문치가자미(Pseudopleuronectes yokohamae)의 식성 (Feeding Habits of the Marbled Flounder Pseudopleuronectes yokohamae in the West Sea in Korea)

  • 노태형;최동혁;이승환;권대현;한경호;김맹진
    • 한국수산과학회지
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    • 제55권5호
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    • pp.583-589
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    • 2022
  • The feeding habits of the marbled flounder Pseudopleuronectes yokohamae were studied using 384 specimens (10.7-52.3 cm in total length) collected from the West Sea, Korea between January and December 2021. P. yokohamae ate mainly polychaeta and gastropoda, incuding teleostei, caridea, euphausiacea, amphipoda and brachyura. The mean number of preys per stomach (mN/ST) showed a statistically significant difference, and the mean weight of prey per stomach (mW/ST) increased as the total length increased. P. yokohamae ate mainly teleostei in spring and winter. P. yokohamae ate mainly euphausiacea in summer and mainly polychaeta in autumn.

한국 서해에 출현하는 용가자미, Cleisthenes pinetorum 암컷의 성숙과 산란 (Maturity and Spawning of the Pointhead Flounder Cleisthenes pinetorum in the West Sea of Korea)

  • 최동혁;윤병일;이승환;권대현;김맹진
    • 한국수산과학회지
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    • 제55권5호
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    • pp.575-582
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    • 2022
  • This study revealed the reproductive biology of pointhead flounder Cleisthenes pinetorum, in the middle of the West Sea of Korea. We collected samples using gill net and drag net fisheries in coastal waters from January to December 2019. Mmonthly gonodosomatic index and maturity stage results showed that the spawning period was October to December, and the females grew faster than the males. The fecundity ranged from 16,728 to 1,039,616 number of eggs, and the relationship between TL and fecundity (F) was 0.0000003TL4.7434 (R2=0.4898). The size-frequency distribution of eggs suggested that C. pinetorum spawm once during a spawning period. The length at 50% maturity for females was estimated to be 18.9 cm.

외부법의 종양치료활용에 대한 고찰 (A study of external applications for cancer treatment)

  • 이용연;송기철;최병렬;서상훈;최우진;조정효;이연월;손창규;조종관;유화승
    • 대한한방내과학회지
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    • 제22권4호
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    • pp.659-667
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    • 2001
  • Objectives: The purpose of this study was to explore some new therapies to control clinical symptoms of patients with terminal cancer by using external applications. Methods: We investigated some literatures on the external applications for cancer patients and made diagrams. Results: The results are summarized as follows. External applications are one of the traditional oriental medical methods and these are effective for pain control, ascites & pleural effusion and palpitable mass. It has some characteristics which are simple, safe and popular, but we must pay attention carefully to allergic reaction and toxicity in using external applications. The therapeutic portion of external applications are decided by discipline of syndrome and disease differentiation, and the prescriptions are composed of antitumor herb medicines. Conclusions: From the above results, it is expected that external applications are useful to improve clinical symptoms and quality of life(QOL) for patients with terminal cancer who cannot intake foods or medicines.

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