• Title/Summary/Keyword: after-school

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Pumpless extracorporeal interventional lung assist for bronchiolitis obliterans after allogenic peripheral blood stem cell transplantation for acute lymphocytic leukemia

  • Park, Yeon-Hee;Chung, Chae-Uk;Choi, Jae-Woo;Jung, Sang-Ok;Jung, Sung-Soo;Lee, Jeong-Eun;Kim, Ju-Ock;Moon, Jae-Young
    • Journal of Yeungnam Medical Science
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    • v.32 no.2
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    • pp.98-101
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    • 2015
  • Bronchiolitis obliterans (BO), which is associated with graft-versus-host disease after allogenic hematopoietic stem cell transplantation, is a major obstacle to survival after bone marrow transplantation due to its gradual progress, eventually leading to respiratory failure. Pumpless extracorporeal interventional lung assist (iLA) is effective in treatment of reversible hypercapnic respiratory failure. In this paper, we present a 23-year-old female patient who underwent allogeneic peripheral blood stem cell transplantation (PBSCT) for acute lymphocytic leukemia. After 6 months, she complained of shortness of breath and was diagnosed with BO. Five months later, she developed an upper respiratory tract infection that worsened her BO and caused life-threatening hypercapnia. Since mechanical ventilation failed to eliminate $CO_2$ effectively, iLA was applied as rescue therapy. Her hypercapnia and respiratory acidosis showed significant improvement within a few hours, and she was successfully weaned off iLA after 12 days. This is the first case report of iLA application for temporarily aggravated hypercapnia of PBSCT-associated BO followed by successful weaning. This rescue therapy should be considered in ventilator-refractory reversible hypercapnia in BO patients.

Case Report: Korean Medicine Treatment for a Patient Complaining of Hot Flashes after COVID-19 Infection (Covid-19 감염 이후 상열감을 호소하는 환자에 대한 한의 치험 1례)

  • Hye-min Heo;Kyeong-hwa Lee;Kyeong-hwa Heo;Ye-chae Hwang;Seung-yeon Cho;Jung-mi Park;Chang-nam Ko;Seong-uk Park
    • The Journal of Internal Korean Medicine
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    • v.44 no.2
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    • pp.207-215
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    • 2023
  • This study reported a case of hot flashes in a patient after coronavirus disease-2019 (COVID-19) infection. The patient in this case was hospitalized for eight days and improved after the administration of Korean medicine, mainly Yangkyuksanwha-tang. We evaluated the patient's subjective discomfort daily, and the patient kept a diary of hot flashes every day. After treatment, the degree and frequency of hot flashes were greatly improved and continued two weeks after discharge. In addition, the accompanying hyperhidrosis improved from Grade 2 to Grade 0. This study suggests that Korean medicine might be effective in combating the hot flashes of soyangin-type patients.

Kidney Transplantation in End-Stage of Renal Failure with Secondary Hyperparathyroidism (속발성 부갑상선 기능항진증을 동반한 말기 신부전의 치료를 위한 신장이식)

  • Kwak, Ho-Hyun;Nam, Hyun-Suk;Kim, Yun-Tai;Park, In-Chul;Han, Jeong-Hee;Woo, Heung-Myong
    • Journal of Veterinary Clinics
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    • v.24 no.4
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    • pp.522-528
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    • 2007
  • A 3-year-old male Maltese dog(weighing 2.5 kg) was referred with an excessive movement of mandible and depression. Comprehensive diagnostic investigation revealed an end-stage of renal disease with secondary hyperparathyroidism. The renal allograft was performed after the condition of dog was stabilized by hemodialysis and medical treatment. After transplantation, the renal function of this dog was returned to normal. thereafter, the dog died suddenly without apparent clinical signs. The subsequent pathological studies revealed the actual etiology of death was not clearly identified However acute pancreatitis caused by abrupt introduction of food after prolonged luting might be involved in the etiology. This case study showed the necessity of pancreatic function test in postoperative management after renal transplantation.

The Effect of Sleep Duration and Relief of Fatigue after Sleep on the Risk of Injury at School among Korean Adolescents (청소년의 수면시간과 수면 후 피로 회복이 학교 내 손상에 미치는 영향)

  • Yu, Jungok;Kim, Jungsoon
    • Research in Community and Public Health Nursing
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    • v.26 no.2
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    • pp.100-107
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    • 2015
  • Purpose: To explore the association between sleep and the risk of accidental injury at school among Korean adolescents. Methods: From the database of the Ninth Korea Youth Risk Behavior Web-based Survey (KYRBS), the researcher selected 63,307 adolescents who responded to a survey on sleep hours. We conducted logistic regression with sleep duration and fatigue after sleep as independent variables, the risk of injury at school as a dependent variable, and gender, grade, school type, economic status, parents' education level, number of participations in physical education, and current smoking and drinking as control variables. Results: Using 9 hours of sleep as the reference, the adjusted injury risk (odds ratio) was 1.74 for those sleeping less than 5 hours a day, 1.61 for 5 hours, 1.45 for 6 hours, 1.31 for 7 hours, 1.13 for 8 hours, and 1.40 for 10 hours or longer. The difference between each pair of groups was statistically significant. In this study, injury risk increased as sleep duration decreased and fatigue after sleep increased. Conclusion: The findings suggest that a short nightly duration of sleep and fatigue after sleep can be considered potential risk factorsfor unintentional injuries at school among Korean adolescents.

Three-year Follow-up after Autogenous and Xenogenic Jaw Bone Grafts

  • Seo, Mi-Hyun;Kim, Soung-Min;Kim, Hyun-Soo;Lee, Jeong-Keun;Myoung, Hoon;Lee, Jong-Ho
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.34 no.3
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    • pp.209-214
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    • 2012
  • This case report assessed the three-year follow-up results after autogenous and xenogenic bone grafts of the jaw. Autogenous particulated bone with osteogenesis and osteoinductive properties and xenogenic Bio-Oss$^{(R)}$ (Geistlich Pharma AG, Wolhusen, Switzerland) graft materials with osteoconductive propertes were grafted into cystic cavities that remained after multiple cystic enucleation in the right upper posterior maxilla and the left lower posterior mandible. Six months later, increased radiopacity in the grafted area was seen. Three-year follow-up results with clinical and panoramic radiography after autogenous and xenogenic bony mixtures in jaw are reviewed and discussed.

The Effect of After-school Physical Activity on Body Composition and Health Related Fitness of Middle School Students (방과 후 체육활동 참여가 중학생의 신체조성 및 건강관련체력에 미치는 영향)

  • Shin, Koun-Soo;Kim, Young-Jae
    • Journal of Fisheries and Marine Sciences Education
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    • v.26 no.3
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    • pp.525-534
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    • 2014
  • This study has examined the effect of after-school physical activity on body composition and health related fitness of middle school students. The duration of after-school physical activity training program of this study is 12 weeks, the training time in 1 hours warming-up 10 minutes, the skill training 45 minutes and cool down did in 5 minutes. Exercise frequency is 5 time per week. Height basketball class, soccer class, subject class showed statistically meaningful increase between group variance showed statistically meaningful. Weight basketball class, soccer class, showed statistically meaningful decrease. Muscle mass basketball class showed statistically meaningful increase, soccer class showed statistically meaningful decrease. Cardiopulmonary basketball class, soccer class, showed statistically meaningful decrease. Explosive muscular strength basketball class, soccer class, showed statistically meaningful decrease. subject class showed statistically meaningful increase, between group variance showed statistically meaningful. Flexibility basketball class showed statistically meaningful increase, soccer class. Muscular strength basketball class, soccer class, subject class showed not statistically meaningful different.

Intralesional steroid infusion using a spray tube to prevent stenosis after endoscopic submucosal dissection of esophageal cancer

  • Atsushi Goto;Takeshi Okamoto;Ryo Ogawa;Kouichi Hamabe;Shinichi Hashimoto;Jun Nishikawa;Taro Takami
    • Clinical Endoscopy
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    • v.55 no.4
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    • pp.520-524
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    • 2022
  • Background/Aims: Intralesional steroid injections have been administered as prophylaxis for stenosis after esophageal endoscopic submucosal dissection. However, this method carries a risk of potential complications such as perforation because a fine needle is used to directly puncture the postoperative ulcer. We devised a new method of steroid intralesional infusion using a spray tube and evaluated its efficacy and safety. Methods: Intralesional steroid infusion using a spray tube was performed on 27 patients who underwent endoscopic submucosal dissection for superficial esophageal cancer with three-quarters or more of the lumen circumference resected. The presence or absence of stenosis, complications, and the number of endoscopic balloon dilations (EBDs) performed were evaluated after treatment. Results: Although stenosis was not observed in 22 of the 27 patients, five patients had stenosis and dysphagia requiring EBD. The stenosis in these five patients was relieved after four EBDs. No complications related to intralesional steroid infusion using the spray tube were observed. Conclusions: Intralesional steroid infusion using a spray tube is a simple and safe technique that is adequately effective in preventing stenosis (clinical trial number, UMIN000037567).

Effect of School Breakfast Service on Attitudes Toward Breakfast and School Breakfast of Male Middle School Students (학교 아침급식이 남자 중학생의 아침식사 및 아침급식에 대한 태도에 미치는 영향)

  • Yi, Ga-Jin;Yoon, Ji-Hyun;Choo, Yun-Jeong;Chung, Sang-Jin;Kwon, Young-Hye
    • Korean Journal of Community Nutrition
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    • v.14 no.3
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    • pp.277-285
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    • 2009
  • This study was conducted to analyze the effect of male middle school students' eating school breakfast on their attitudes toward breakfast and school breakfast. In addition, the effect of school breakfast on breakfast-related eating behaviors and academic achievement was investigated. The study subjects were selected from a male middle school located in Gyeonggi-do, Republic of Korea. Breakfast was provided at the school for 7 weeks during the 2nd semester of the year 2006. Two sophomore classes were selected for the experimental study. All the students from one class (n = 34; School Breakfast Eaters) have eaten school breakfast while none of the students from the other class (n = 33; School Breakfast Non-eaters) have done so. About two weeks after the school breakfast service was terminated, questionnaires were distributed to the two classes and the responses were analyzed. The results showed that School Breakfast Eaters had more positive attitudes toward breakfast and school breakfast than School Breakfast Non-eaters. In addition, School Breakfast Eaters perceived the positive effect of eating breakfast on their school life more highly than School Breakfast Non-eaters. However there was no significant difference between the two groups in their breakfast eating behaviors in terms of breakfast skipping when the breakfast service was not available. No significant difference was found between the two groups with regards to math score variation before and after school breakfast service. In conclusion, school breakfast for 7 weeks had positive effects on male middle school students' attitudes toward breakfast and school breakfast, although the effect was not confirmed in their breakfast-related eating behaviors after the school breakfast service was terminated

Effect of irradiation on expression of clusterin in the rat salivary glands (방사선조사가 백서 타액선의 clusterin 발현에 미치는 영향)

  • O Gyu-Myeong;Choi Yong-Suk;Hwang Eui-Hwan;Lee Sang-Rae
    • Imaging Science in Dentistry
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    • v.36 no.1
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    • pp.33-40
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    • 2006
  • Purpose : To investigate clusterin expression in the acini and ductal cells of rat submandibular glands after Co-60 gamma irradiation. Materials and Methods : The male Sprague-Dawley rats weighing approximately 250 gm were divided into control and experimental groups. The experimental group was irradiated with a single absorbed dose of 2, 5, 10, and 15 Gy on the head and neck region. All the rats were sacrificed at 1, 3, 7, 14, 21, and 28 days after irradiation. The specimens including the submandibular gland were sectioned and observed using a immunohistochemical method. Results : In the 2 Gy group, clusterin expression was similar to that of the control group at 1 day after irradiation and it was observed in the striated ductal cells at 3 days after irradiation. In the 5 Gy group, clusterin expression was observed in the striated ductal cells at 1 day after irradiation and gradually increased in the 10 and 15 Gy groups. In the 15 Gy group, clusterin expression was prominent in the striated ductal cells at 1 day after irradiation, but it gradually decreased with the experimental period. The destruction of the striated ductal cells was observed in the 2 Gy group at 21 days after irradiation and in the 5, 10, and 15 Gy groups at 7 days after irradiation. The destruction of the acinar cells was observed in the 2 Gy group at 28 days after irradiation and in the 5, 10, and 15 Gy groups at 14 days after irradiation. Conclusion : Clusterin expression was induced by low doses of irradiation and it appeared to be involved in the regulation of cellular response to irradiation.

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The Effects of a Multi Agent Obesity Control Program in Obese School Children (학령기 아동을 위한 멀티에이전트 비만관리 프로그램의 효과)

  • Ahn, Hye-Young;Im, Sook-Bin;Hong, Kyung-Ja;Hur, Myung-Haeng
    • Journal of Korean Academy of Nursing
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    • v.37 no.1
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    • pp.105-113
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    • 2007
  • Purpose: The purpose of this study was to identify the effects of a multi agent obesity control program in obese school children. This program was composed of strategies to modify diet and exercise habits and to change cognitive behavior variables(stress, coping, and self-efficacy). Method: The subjects were 40 obese school children who participated in our project voluntarily via homepage, TV, newspaper, public paper and school official documents. The program was implemented daily for 4 sessions per day for ten days from August 16 to 26, 2004. The daily program consisted of exercise therapy, dance therapy, cognitive behavior therapy and aroma therapy. The data was analyzed by paired t-test using the SPSSWIN program. Result: There was a significant decrease in children's waist-hip ratio(p=.04) and in children's stress(p=.00) after the program. There was a significant increase in children's self-confidence after the program(p=.02) and a significant decrease in children's diet habit after the program(p=.02). Conclusion: This study provides evidence that a multiagent obese control program is effective in changing waist-hip ratio, stress, self-confidence, and diet habits in obese school children.