• 제목/요약/키워드: abdominal organ

검색결과 208건 처리시간 0.031초

발통점(發通點)을 이용(利用)한 두통(頭痛) 치험례(治驗例) 보고(報告) (The clinical observation of patient with Headache Treated by Trigger point acupuncture therapy)

  • 이승연;김장현
    • 대한한방소아과학회지
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    • 제12권1호
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    • pp.133-143
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    • 1998
  • Myofascial pain syndrome is one of the pain syndrome resulted from myofascia which covered muscles and clinically characteristic feature by sensitive trigger point in skeletal muscles and referred pain reactivated by stimulating each trigger point. The origin of headache are local lesion such as head, chest, abdominal organ, systemic lesion with fever or in toxic state. the other factors are consciousness, personality, anxiety, depression, which cause muscle strain in physiological environment. The Oriental Medical therapy for headache has herb medication and acupuncture. especially acupuncture therapy has not only classical systemic acupuncture(體鍼) but also neo-acupuncture(新鍼) such as commonly using auricular acupuncture(耳鍼) and manual acupuncture (手鍼), recently trigger point acupuncture is used. The author analyzed 27 cases of patient with headache treated by trigger point acupuncture therapy in Dong-yu Oriental Medical Hospital from March 1st 1997 to February 28th 1998. The following results were obtained. 1. The sex ratio of the female was 59.26%(16 cases) and male was 40.74%(11 cases), the ratio of high school student was 62.96%(17cases) as first. 2. The headache duration ratio of 2-3 years was 37.04%(10 cases) as first, 1-2 years was 25.93%(7 cases) as second. 3. The portion ratio of whole headache was 33.33%(9 cases) as first, lateral headache was 29.63%(8 cases) as second 4. The combined symptoms ratio of anorexia was 40.74%(11 cases) as first, fatigue was 33.33%(9 cases) as second, neck stiffness and dizziness was each 25.93%(7 cases) as third. 5. The therapeutic duration ratio of below 1 week was 29.63%(8 cases) as first, 2-3 weeks was 22.22%(6 cases) as second, 1-2 weeks and 3-4 weeks was each 18.52%(5 cases) as third. 6. The ratio of family history was 11 cases(40.74%). mother with headache was 6 cases, father was 3 cases, and brothers & sisters was 2 cases. 7. The herb medication ratio of Chungsanggyuntongtang(淸上?痛湯) was 37.04%(10 cases), Kamiondamtang(加味溫膽湯) was 22.22%(6 cases), Hyangsapyunguisan(香砂平胃散) was 18.25%(5 cases) etc. 8. The remedial effect ratio of good was 25.93%(7 cases), fair was 48.15%(13 cases), not improved was 7.41%(2 cases), side effect was 3.70%(1 cases), and unknown was 14.81%(4 cases).

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종합검진 수검자의 스트레스 수준과 생활습관, 자각증상 및 임상적 진단의 관련성 (Relationship of Level of Stress, Life Style, Subjective Symptoms and Clinical Diagnosis in Clients taken Multiphasic Screening Program)

  • 박준한;전진호;강장미;손병철;김대환;이창희;정귀원;엄상화
    • Journal of Preventive Medicine and Public Health
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    • 제31권4호
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    • pp.728-739
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    • 1998
  • To improve wellness and quality of life by recognizing the health efforts of stress, the author estimated the relationships between stress, subjective symptoms and clinical diagnosis through a questionnaire and a battery of specified laboratory tests; electrocardiography, blood pressure, cholesterol, aspartate aminotransferase(AST), alanine aminotransferase(ALT), gamma glutamyl transferase$(\gamma-GTP)$, fasting blood sugar, gastro-endoscopy or UGI, abdominal sonography, etc. The data was gathered from 337 clients who were undergoing multiphasic screening program at a University Hospital from January to March 1998. The mean age of subjects was $46.5{\pm}11.2$ years and the mean of body mass index was $24.0{\pm}3.7kg/m^2$. The mean vol of stress was $18.5{\pm}6.0$ expressed as the score out of 40. By general characteristics and lift style among male, mean level of stress was significantly higher in case of lower socioeconomic status, habitual drug use, longer daily working time(>10 hours), no regular exercise, drinkers, irregular meal, skip-ping breakfast(p<0.05). In case of female, that was significantly higher in case of lower education, lowe. socioeconomic status, longer daily working time(>10 hours), no regular exercise, drinkers, smokers, irregular meal, skipping breakfast(p<0.05). Significant correlations were observed between stress and subjective symptoms in all kinds of organ system (p<0.01). Correlation coefficients of stress among male were relatively high with neuro-psychiatric symptom$(\gamma=0.476)$ and cardio-vascular symptom$(\gamma=0.361)$ in order, and correlation coefficients of stress among female was highest with neuro-psychiatric symptom$(\gamma=0.371)$. The prevalence of the diagnosis through the battery of laboratory tests was high in upper gastrointestinal disorders and hypercholesterolemia in order in both sex group. Among male the mean score of stress was significantly high in ulcerative peptic disorder of upper gastrointestine and hepatopathy in order (p<0.05) . Among female that was significantly high in diabetes mellitus. In summary, it is likely that there are associations between stress, subjective symptoms and clinical diagnosis. To promote wellness and quality of life it would be of value that periodic stress evaluation program and stress management including apropriate control of smoking and drinking, regular exercise and meal.

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응급실을 통하여 입원한 체간부 관통상 환자에 관한 임상적인 고찰 (Clinical Patterns of Penetrating Torso Injury at Emergency Department)

  • 윤순영;전영진;원태희
    • Journal of Trauma and Injury
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    • 제18권1호
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    • pp.47-52
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    • 2005
  • Background: This study was undertaken to evaluate the clinical pattern of the patients with penetrating torso injury. We retrospectively analyzed the clinical symptoms, mechanism of injury, injury type including injured organ, and ultimate outcome of treatment. Our purpose of the study was to establish guideline of management in penetrating torso injury. Methods: This study consists of an analysis of a consecutive series of 94 patients with penetrating injury of trunk treated at one general hospital during 7year period (from January 1995 to April 2003) who was admitted through in our emergency department. All data were collected from the medical records and entered in a database for analysis on the following: age, sex, mechanism of injury, vital sign at admission, clinical outcome including hospital mortality, length of hospital stay, length of intensive care unit stay, requirement of crystalloid fluid and blood product. Results: Among 94 patients, there were 68 men and 26 women, with ages ranging from 19 to 82 years (average 38.2 years). The most frequent mechanism of injury was violence by others including rob (n=54, 57.4%) followed by suicidal attempt (n=24, 25.5%) and accidental injury (n=16, 17.0%). No injury was inflicted from gun. In 37 patients, systolic blood pressure at admission was under 90mmHg. The time interval from injury to admission, and from admission to operation was 57.8minutes and 4hour 12minutes each. Laparotomy was required in 70 patients, thoracotomy in 5 patients, and 3 patients required thoracotomy and laparotomy. Among 94 patients, an average of 1.7 organs were injured. The small bowel and colon were the organs most commonly wounded followed by liver, mesentery, pleura. Of the 94 patients, 6 died for an overall mortality rate of 6.4%, and two of them were not related with hemorrhage. The average length of hospital stay was 18.1 days, and 40 patients required ICU care. Conclusion: Of the 94 patients who were admitted from penetrating torso injury, no patient was injured from firearm. Overall mortality rate was 6.4%. In our hospital, firearm injury was relative rare.

방사선 치료 시 차폐물질 사용에 따른 kV-CBCT 선량감소 효과 (Reduced Effect of kV-CBCT Dose by Use of Shielding Materials in Radiation Therapy)

  • 조현종;박은태;김정훈
    • 한국방사선학회논문지
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    • 제12권4호
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    • pp.467-474
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    • 2018
  • CBCT는 치료부위의 정확도 향상에 유용하지만, 반복적인 사용으로 피폭선량이 높아지는 단점이 있다. 이에 본 연구에서는 차폐체를 사용한 모의실험과 선량감소 효과를 데이터화하여 CBCT 시행 시 선량 저감화를 위한 기초자료를 제공하고자 한다. 본 연구에서는 MCNPX를 통해 CBCT를 모사하여 광자선을 분석한 후, UF-revised 인체 모의 피폭체를 대상으로 흉복부 촬영 시 장기의 흡수선량을 계산하였다. 이 때, 차폐체(납, 안티몬, 황산바륨, 텅스텐, 비스무스) 유무와 차폐 재질에 따른 장기선량을 평가하였다. 차폐를 하지 않고 CBCT 촬영을 하였을 경우 유방 과 척추에서 선량이 높게 계산되었으며, 식도와 폐에서 선량이 낮게 계산되었다. 차폐체 재질에 따른 선량 은 황산바륨, 안티몬, 비스무스, 납, 텅스텐 순으로 선량이 높게 계산되었다. 차폐체 유무에 따른 선량 감소율을 평가해 보면 흉선(73.6%), 유방(59.9%)에서 가장 차폐율이 높고, 폐(2.1%), 척추(12.6%)에서 가장 낮은 차폐율을 보였다.

맥주효모 슬러리의 급여가 육계의 성장과 혈액 성상에 미치는 영향 (Effects of Brewer's Yeast Slurry on the Growth and Blood Composition of Broiler Chicks)

  • 김정학;심관섭;마정숙;권덕신
    • 한국축산시설환경학회지
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    • 제10권1호
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    • pp.59-66
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    • 2004
  • 맥주공장에서 얻어지는 맥주효모 슬러리를 육계사료의 첨가제로서 이용하기 위하여 8$0^{\circ}C$에서 건조하였으며, 육계사료에 0%, 2%, 4% 첨가ㆍ급여하여 육계의 성장과 장기발달 및 혈액 성상에 미치는 영향을 조사하였다. 4% 맥주효모 슬러리의 첨가시 육계의 성장률이 9% 향상되었고(P<0.05) 사료 효율은 8% 개선되었다(P<0.05). 사료섭취량은 전처리구간에 차이가 없었다. 또한 전 처리구간에서 육계의 간장, 심장 및 복강지방의 무게에는 차이가 없었으나, 체중 대비 간장 무게의 비율에 있어서는 4% 첨가구에서 감소되었다. 맥주효모 슬러리의 첨가가 혈중 glucose 농도에는 영향을 미치지 못하였으나, 혈중 triglyceride 농도에 있어서는 4% 첨가구에서 31% 유의적으로 감소하였다.(P<0.05). 특히 맥주효모 슬러리의 첨가가 육계의 혈청 중 total-cholesterol 농도에는 영향을 미치지 않았으나, HDL 농도에 있어서는 2%와 4% 첨가구에서 대조구에 비하여 각각 33%와 26% 증가하여(P<0.05), HDL/TC의 비율을 향상시켰다(P<0.05). 본 연구의 결과는 맥주효모 슬러리의 첨가가 육계의 성장 및 사료효율을 개선시켜 육계의 사료 첨가제로서 이용가능성을 확인시켜 주었으며, 특히 혈중에서는 triglyceride 농도를 감소시키고, HDL 농도 및 HDL/TC의 비율을 증가시켜 체내 지방대사에 영향을 미친다는 것을 보여준다.

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궤양성 대장염에서 나타난 폐쇄성 세기관지염 기질화 폐렴 1예 (A Case of Bronchilolitis Obliterans Organizing Pneumonia in a Patient with Ulcerative Colitis)

  • 이현정;박병훈;손지영;정지예;황세나;전영은;김은영;임주은;이경종;윤여운;김영삼;김세규;장준;심효섭;조상호;박무석
    • Tuberculosis and Respiratory Diseases
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    • 제68권3호
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    • pp.175-179
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    • 2010
  • The ulcerative colitis is a chronic inflammatory bowel disease with an unknown etiology. The major symptoms of ulcerative colitis are diarrhea, abdominal pain and hematochezia. However, arthritis, skin disorders, hepatobiliary inflammation and uveitis are occasionally recognized as systemic complications. Although there are few reports of coexistent pulmonary and inflammatory bowel disease, the lung is not generally considered to be a target organ in ulcerative colitis. We report a patient with ulcerative colitis-related bronchilolitis obliterans organizing pneumonia confirmed by video-assisted thoracoscopic surgery, who responded to corticosteroid therapy.

Growth Performance, Carcass Traits and Serum Mineral Chemistry as Affected by Dietary Sodium and Sodium Salts Fed to Broiler Chickens Reared under Phase Feeding System

  • Mushtaq, M.M.H.;Pasha, T.N.;Saima, Saima;Akram, M.;Mushtaq, T.;Parvin, R.;Farooq, U.;Mehmood, S.;Iqbal, K.J.;Hwangbo, J.
    • Asian-Australasian Journal of Animal Sciences
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    • 제26권12호
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    • pp.1742-1752
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    • 2013
  • A basal diet (0.8 g/kg dNa) was formulated in which each of the two sources ($NaHCO_3$ and $Na_2SO_4$) were supplemented in such a way to attain four levels (1.7, 2.6, 3.5, and 4.4 g/kg) of total dNa, respectively, under $4{\times}2$ factorial arrangement. Eight dietary treatments were replicated four times, with 40 birds in each replicate (n = 1,280). The diets supplemented with $Na_2SO_4$ to attain higher levels of dNa showed highest BW gain and feed intake (FI) during d 1 to 10 (interaction effects) while 2.6 g/kg dNa exhibited improved BW gain and gain:feed (FG) during d 11 to 20. Linear rise in daily water intake (DWI) was associated with diets containing increasing dNa during d 1 to 42 ($p{\leq}0.036$). During the first 10 d, DWI:FI was found highest in $NaHCO_3$ diets while $Na_2SO_4$ diets showed highest DWI:FI during last 10 d of the experiment ($p{\leq}0.036$). Increasing dNa and changing $Na_2SO_4$ with $NaHCO_3$ salt increased pH and resulted in poor growth performance. Dressing weight ($p{\leq}0.001$) and abdominal fat ($p{\leq}0.001$; quadratic effect) were reduced, whereas breast ($p{\leq}0.001$) and thigh (p<0.001) weights were aggravated with increasing dNa (linear effects). Present findings suggested higher levels of dNa from $Na_2SO_4$ as the supplemental salt in broiler diets would produce better growth performance, especially in first ten days of life, and improve carcass and body organ characteristics.

무독화한 옻발효초가 고지방식이를 급여한 흰쥐에 미치는 항비만 효과 (Anti-Obesity Effect of Fermented Detoxified Rhus verniciflua Vinegar Supplementation in Diet-Induced Obese Rats)

  • 정소라;김란선;박유경;백성열;여수환;이충환
    • 한국식품영양과학회지
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    • 제44권12호
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    • pp.1771-1778
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    • 2015
  • 본 연구에서는 고지방식이로 비만 유도된 쥐를 대상으로 10주간 옻식초를 급여하였을 때 비만에 미치는 영향을 알아보고자 하였다. 옻식초는 무독화된 옻을 이용하여 알코올 발효 후 아세트산 발효를 거쳐 제조하였으며, 흰쥐를 일반식이(normal chow diet)와 고지방식이(fat 60 %kcal) 섭취군으로 나누어 12주 동안 비만 유도를 한 후 총 5군으로 나누었다. 일반식이와 정제수를 음용한 CON군, 고지방식이와 정제수를 음용한 OB-DW군, 고지방식이와 1% 아세트산을 음용한 OB-AA군, 고지방식이와 1% 옻식초를 음용한 OBRV군, 고지방식이와 0.1% 카페인 용액을 음용한 OB-CF군으로 나누어 총 10주 동안 해당 식이와 실험시료를 공급하였으며, 연구 종료 후 체중, 지방 무게, 지방구 크기 및 개수, 혈액과 간 조직의 지질 profile, 지방조직의 glycerol-3-phosphate dehydrogenase와 lipoprotein lipase(LPL) 효소 활성을 분석하였다. 그 결과 OB-DW군과 비교하여 OBRV군에서 체중 증가량과 식이효율이 유의적으로 감소하였고, 혈중 총 콜레스테롤과 중성지방 함량, 심장동맥경화지수(CRI), LPL 활성이 유의적으로 감소하였으며, 또한 혈중 유리지방산과 분변 중성지방의 함량이 유의성 있게 증가하였다(P<0.05). 항비만 효과를 살펴보기 위해 비만 흰쥐에게 옻식초를 음용시켰을 때 혈청이나 간의 지질 함량을 개선시키고 지질 배설을 증가시켜 부작용 없이 식품소재로서 비만을 일부 개선시키는 효과를 규명하였다.

Growth Performance, Meat Quality and Caecal Coliform Bacteria Count of Broiler Chicks Fed Diet with Green Tea Extract

  • Erener, Guray;Ocak, Nuh;Altop, Aydin;Cankaya, Soner;Aksoy, Hasan Murat;Ozturk, Ergin
    • Asian-Australasian Journal of Animal Sciences
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    • 제24권8호
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    • pp.1128-1135
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    • 2011
  • This study was conducted to investigate the effect of dietary green tea extract (GTE) on the performance, carcass and gastrointestinal tract (gut) traits, caecal coliform bacteria count, and pH and color (CIE $L^*$, $a^*$, and $b^*$) values of the breast muscle in broilers. A total number of 600 day-old broilers (Ross 308) was allocated to three treatments with four replicates containing 50 (25 males and 25 females) birds. The dietary treatments consisted of the basal diet as the control (0GTE) and diets with GTE at 0.1 (0.1GTE) or 0.2 (0.2GTE) g/kg. Body weights and the feed intake of broilers were measured at 1, 21 and 42 days, the feed intake was measured for different periods and the feed conversion ratio was calculated accordingly. At 42 day four birds per replicate were slaughtered for the determination of carcass and organ weights, caecal coliform bacteria count, and also quality of the breast muscle. The dietary GTE increased the body weight, feed efficiency, carcass weight and dressing percentage and decreased caecal coliform bacteria count of broilers (p<0.05). The 0GTE broilers consumed (p<0.01) less feed than the 0.1GTE birds in the entire experimental period. The relative abdominal fat weight and gut length of broilers in the 0.2GTE were tended to be lower (p<0.07) than those in the 0GTE group. The breast meat from 0.1GTE birds had a lower pH value when compared to that from 0GTE birds. The 0.1GTE broilers had lighter breast meat than 0GTE and 0.2GTE birds. The dietary GTE increased $a^*$ and $b^*$ values of the breast meat. Thus this product appeared to have a measurable impact on CIE color values of the breast meat in broilers. The results of the present study may indicate that the improved production results in the group with added GTE are directly connected with physiological mechanisms such as the regulation of the caecal micro-flora.

복부 MDCT 영상으로부터 간혈관 자동 추출 알고리즘 (Auto-Segmentation Algorithm For Liver-Vessel From Abdominal MDCT Image)

  • 박성미;이유진;박종원
    • 한국멀티미디어학회논문지
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    • 제13권3호
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    • pp.430-437
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    • 2010
  • 간이식 수술을 함에 있어서 간 내부의 혈관의 형태를 알고 시작하는 것이 수술의 성공률을 매우 높일 수 있다. 본 논문은 조영제를 투여한 정상 환자의 복부 MDCT를 이용하여 얻어진 영상을 다른 여러 장기부분은 제거하고 간 영상만을 추출한 후 간 내의 혈관들의 기본형태를 파악하여 몇몇 구조단위들을 만들고 Morphological filtering을 이용하여 주요 혈관인 좌, 우, 중간정맥을 찾아낸다. 중간정맥을 기준으로 간 실질을 절단하여 절단된 부분의 크기를 예측하고 수술전에 전체 상황을 파악하기 위한 연구이다. 간의 추출 방법은 명암값의 범위와 분포 샘플링 과정에 의한 명암값 분포비율을 가지고 배경과 근육층을 제거하였다. 간의 대략적인 위치 정보와 몸통의 위치정보를 이용하여 단위 매쉬영상과 일치되는 영상을 찾은 후 결과 영상을 조합하고 8방향 연결성을 이용하여 확장하고 화소간의 채우기 과정을 거쳐 최종적인 간영상을 추출하였다. 추출된 간 영상에서 간 영역의 특징적인 명암값과 다양한 구조단위를 가지고 Morpological Filtering을 수행 한 후 나타난 결과들을 조합하여 만들어진 영상에서 각 슬라이스 별로 크기순으로 큰 부분들을 남겨두어 굵은 혈관만을 추출하였다. 추출된 영상들을 3D로 구성 시 자연스럽게 보여지도록 인터폴레이션을 수행한 후 3D Reconstruction 을 수행하여 3D 형태의 간 혈관을 보고 중간 정맥을 파악하여 간 실질의 절단 위치를 예측하게 된다. 절단되어진 간 실질의 크기를 확인하고 계산에 의하여 수술 성공 가능성을 파악할 수 있다.