• 제목/요약/키워드: age reduction

검색결과 1,292건 처리시간 0.024초

최소침습적 금속판 내고정술을 이용한 전위된 관절 내 종골 골절의 임상적 치료결과 (Clinical Results of Surgical Treatment with Minimally Invasive Percutaneous Plate Osteosynthesis for Displaced Intra-articular Fractures of Calcaneus)

  • 서재완;양종헌;박현우
    • 대한족부족관절학회지
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    • 제24권2호
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    • pp.87-93
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    • 2020
  • Purpose: This study evaluated the clinical results of surgical treatment with minimally invasive plate osteosynthesis for treating displaced intra-articular fractures of the calcaneus in comparison with conventional lateral extensile approach plate osteosynthesis. Materials and Methods: Of 79 cases of Sanders type II or III calcaneus fractures, 15 cases treated with the minimally invasive calcaneal plate (group M) and 64 cases treated with lateral extensile approach calcaneal plate (group E) were identified. After successful propensity score matching considering age, sex, diabetes mellitus history, and Sanders type (1:3 ratio), 15 cases (group M) and 45 cases (group E) were matched and the demographic, radiologic, and clinical outcomes were compared between the two groups. Results: The median time of surgery from injury was 2.0 days in group M and 6.0 days in group E (p=0.014). At the six months follow-up, group M showed results comparable with those of group E in radiographic outcomes. In the clinical outcomes, group M showed better postoperative American Orthopaedic Foot and Ankle Society (AOFAS) and visual analogue scale (VAS) scores than did group E (p=0.001, p=0.008). A greater range of subtalar motion was achieved at the six months follow-up in group M (inversion 20.0° vs. 10.0°, p=0.002; eversion 10.0° vs. 5.0°, p=0.025). Although there were no significant differences in complications between the two groups (1 [6.7%] vs. 7 [15.6%], group M vs. group E; p=0.661), there was only one sural nerve injury and no wound dehiscence and deep infection in group M. Conclusion: Minimally invasive plate osteosynthesis showed superior clinical outcomes compared with that of the conventional lateral extensile approach plate osteosynthesis in Sanders type II or III calcaneus fractures. We suggest applying minimally invasive plate osteosynthesis in Sanders type II or III calcaneus fractures.

육린주가 난소적출 백서의 골다공병에 미치는 영향 (Effects of Yuklinzu on the ovariectomized rat model of postmenopausal osteoporosis)

  • 최상순;엄주오;김송백;유심근
    • 동의생리병리학회지
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    • 제16권4호
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    • pp.788-800
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    • 2002
  • Aging is characterized by an age-dependent reduction in bone density. Pronounced bone loss by postmenopausal estrogen deficiency induces a bad effect on dynamic balance of bone metabolism. When the bone density is reduced to the level below the fracture threshold, the risk for fracture is greatly increased. The purpose of this study is to examine what are the effects of the Yuklinzu(YLZ: 毓麟珠) on the ovariectomized rat model of postmenopausal osteoporosis. The results of the experiment are as follows: Body weight in control group showed significant increase in comparison with sham, but that in YLZ-treated showed no change in comparison with control. The level of serum albumin in control group showed significant decrease in comparison with sham. That in YLZ-treated was slightly decreased in comparison with control. The level of serum ALP activity in control group showed significant increase in comparison with sham, but that in YLZ-treated was significantly decreased in comparison with control. The level of serum phosphorous in control group showed significant increase in comparison with sham, but that in YLZ-treated showed no change in comparison with control. The level of serum calcium in control group showed no change in comparison with sham, but that in YLZ-treated was significantly decreased in comparison with control. The level of serum GOT in control group showed no change in comparison with sham, but that in YLZ-treated was significantly decreased in comparison with control. The level of serum GPT did not significant change among the three groups. The level of serum estrogen in control group showed slightly increased in comparison with sham, but that in YLZ-treated showed no change in comparison with control. The level of serum T3 in control group showed no change in comparison with sham, and that in YLZ-treated showed no change in comparison with control. The level of serum T4 in control group showed significant increase in comparison with sham, but that in YLZ-treated was significantly decreased in comparison with control. Mechanical strength of the femur neck in control group showed significant decrease in comparison with sham. That in YLZ-treated showed slightly increased in comparison with control. Trabecular bone area as well as trabecular thickness in control group showed significant decrease in comparison with sham. Those in YLZ-treated showed significant increase in comparison with control. Trabecular number and did not significant change among the three groups. Trabecular separation only in YLZ-treated showed significant decrease in comparison with control. Osteoclast number and oseoblast surface in control group showed significant increase in comparison with sham. Those in YLZ-treated showed slightly decreased in comparison with control. According to the above these results, YLZ has shown to be capable of preventing and curing osteoporosis caused by old-aged and postmenopause.

동래단층 지역 단층비지의 생성과정과 K-Ar 연령 (Formation Processes of Fault Gouges and their K-Ar Ages along the Dongnae Fault)

  • 장태우;추창오
    • 지질공학
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    • 제8권2호
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    • pp.175-188
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    • 1998
  • 선형계곡을 따라 발달하는 동래 단층대의 단층비지를 조사 연구하였다. 이 단층대는 내적으로 대상구조를 가지며 다중 단층핵의 형태로 산출된다. 단층핵은 비지대와 파쇄대로 구분되며 단층대의 최외곽부인 손상대에 의해 둘러싸인다. 변형작용과 변질작용의 강도는 모암으로부터 손상대 $\rightarrow}$ 파쇄대$\rightarrow}$ 비지대를 향해 증가한다. 비지대를 형성한 변형작용은 초기엔 취성변형작용의 파쇄작용(catalasis)이 주도적이었고, 단층슬립의 최대의 국지화 지역인 파쇄물질의 고변형지역(비지대)에서는 연속적인 취성단열작용의 파쇄유동으로 나아갔을 것으로 생각된다. 단층비지대의 분쇄물질의 높은 공극 및 투수성은 지하로부터 열수유체의 유입을 가능케하여 활발한 열수 변질작용이 일어남에 따라 변형작용 기구는 취성파괴로부터 유체도움 유동으로 일대변화를 겪게 되었다. 열수 유체에 의한 일라이트, 스멕타이트 등의 점토광물 생성과 철광물 및 기타원소의 침전은 단층비지대에 높은 유압을 발생시켜 단열작용과 변질작용을 반복적으로 발생시킬수 있다. 일라이트의 다형은 대부분 1Md형으로 구성된다. 암석이 분쇄되고 나서 변질작용으로 점토광물이 생성될 때까지의 시간은 매우 짧은 것으로 알려져 있다. K-Ar 연령 측정자료에 의할때 열수변질을 수반한 동래단층의 주요 단층활동 시기는 51.4~57.5Ma와 40.3~43.6Ma의 두 시기로 구분될 수 있으나 시.공간적 단층활동 형태를 구명하기 위해서는 더 많은 자료가 필요하다. 그리고 비지대 점토광물의 생성온도환경으로 판단할 때 고기운동의 열수변질이 신기운동에 비해 보다 고온에서 일어난 것으로 추정된다.

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정상인 힘 추적 능력 분석 (Analysis on Force Tracking Capabilities of Healthy Adults)

  • 이백희;박현지;김성호;이병화;나덕렬;유희천
    • 대한산업공학회지
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    • 제41권2호
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    • pp.121-127
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    • 2015
  • A reduction of motor performance due to brain disorders can be screened by evaluating force tracking capabilities (FTCs). Existing studies have examined FTCs mainly using simple sinusoidal waves, of which repeated profiles have a critical limitation due to a learning effect in force tracking. The present study examined the effects of personal factors (age and gender) and sinusoidal wave factors (central force and complexity) on FTCs of healthy adults using composite sinusoidal wave profiles (CSWPs). FTCs were measured using Finger $Touch^{TM}$ for 30 seconds and quantified in terms of time within the target range (TWR, accuracy measure) and relative RMSE (RRMSE, variability measure). A total of 90 healthy adults in 20s to 70s with the equal gender ratio participated in the experiment consisting of combinations of 2 central force levels (6 N and 10 N) and 2 complexity levels (approximate entropy, ApEn = 0.03 and 0.06) of CSWPs. Significantly decreased FTCs (lower TWR and higher RRMSE) were found in aged adults, females, the low central force, and the high complexity. The detailed FTC decrements include a 43% reduced TWR and a 85% increased RRMSE of older adults in 70s as compared to those in 20s, a 17% reduced TWR and a 17% increased RRMSE of female as compared to those of male, a 30% reduced TWR and a 108% increased RRMSE at central force = 6N when compared to those at central force = 10N, and a 19% reduced TWR and a 30% increased RRMSE at ApEn = 0.06 as compared to those at ApEn = 0.03. The characteristics of FTCs for CSWPs can be of use in establishing an assessment protocol of motor performance for screening brain disorders.

Serum Mineral and Haematobiochemical Profile of Microfilariae Infected Cattle in India: Its Effects on Production and Therapy

  • Sharma, M.C.;Joshi, Chinmay
    • Asian-Australasian Journal of Animal Sciences
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    • 제15권3호
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    • pp.357-365
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    • 2002
  • A survey was under taken of six district of Northern India viz. Bareilly, Pilibhit, Udham Singh Nagar, Nainital, Almora and Rampur. The age, breed, sex and physiological status recorded. A total number of 854 cattle examined out of which lactating (274 cases), non lactating (302 cases) heifers (128 cases), calves (82 cases) and adult male (68 cases) were examined. An incidence of 4.92 percent (42) of microfilarisis was recorded. The highest prevalence was observed in Rudrapur District of Udham Singh Nagar (33.33%, 4/12), followed by Lalkaun in Nanital District (21.74%, 10/46), Rampur (12.50%, 2/16), Bareilly (8.16%, 8/98) and Pilibhit (1.22%, 1/82). No infection was observed in Almora region. Amongst 854 cattle of different group incidence was highest in adult male (12.20%, 10/82), followed by non lactating (3.82%, 12/314) and lactating (2.70%, 2/74), (7.64%, 12/157) was found in Heifers. For haemeto-biochemical, serum minerals estimations and therapeutic study 32 animals suffering from filariasis and 18 healthy animals were taken. 16 animals were treated with ivermectin $@200{\mu}g/kg $ body weight. Effect of this disease on production has also been estimated for which body weight and milk production was observed. The main clinical manifestations observed were anaemia, loss of appetite, debility, oedematous swelling especially in the abdominal region, increased heart rate, and respiration rate. Haematological changes indicated decrease in hemoglobin, total erythrocyte count, packed cell volume, erthrocyte fragility and neutrophil, whereas there was significant increase in erythrocytes sedimentation rate (ESR), total leukocyte count (TLC), lymphocyte and eosinophils. Biochemical changes showed significant reduction in the values of serum albumin, A : G ratio, where as there was significant increase in blood glucose, blood urea nitrogen (BUN), globulin, total lipid, total cholesterol, phospholipids, serum bilirubin. Serum mineral profile also altered markedly, which indicate a significant decrease in Ca, Cu, Fe, Zn, and Mn with increase value of Na and Cl. There was no significant change in P and K values. Enzyme pattern in micro filaria infected animal indicated increased level of AST, ALT, alkaline phosphatase, ornithine carbamyl transferase, sorbitol dehydrogenase, glutamate dehydrogenase, isocitric dehydrogenase and lactate dehydrogenase. In blood gas values and acid/base balance, there was an increase in $PVCo_2$ and $PVo_2$. It has been observed that microfilaria infected cattle showed decrease in body weight and milk production. Animal treated with ivermectin showed the return of these above values toward normalcy.

여대생의 하체 비만관리 -아로마 에센셜 오일을 이용한 경락마사지를 중심으로- (Low Body Obesity Control with Female University Students -Focusing on Meridian Massage with Aroma Essential Oil-)

  • 윤은채;김영란
    • 한국콘텐츠학회논문지
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    • 제9권8호
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    • pp.360-366
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    • 2009
  • 본 연구는 하체 비만 해소를 위한 효과적인 방법을 모색하고자 실시하였다. 여대생을 대상으로 아로마에센셜 오일을 이용한 경락마사지를 한 후 그 결과를 살펴보고자 하였다. 연구 대상은 본 연구에 참여를 희망하는 여대생을 중심으로 선발하였으며, 기간은 2008년 4월부터 6월까지로 8주였다. 선발군은 체성분 분석기로 체지방량과 체중을 측정하고 그 평균을 측정치로 이용하였으며, 표준과 과체중 각 4명씩, 비만 8명으로 분류하고 비만을 실험군으로, 표준과 과체증을 대조군으로 삼았다. 각 군은 아로마 에센션 오일 중 비만 해소에 효과가 있다고 선행연구에서 밝혀진 쥬니퍼 베리, 사이프러스, 파출리를 1:1:0.8의 비율(5방울(약 1ml),5방울, 4방울)로 혼합한 후 베이스오일로 30ml의 호호바 오일과 혼합하여 사용하였으며 선발군에 에센셜 오일 테스트를 거친 후 30분씩 하체 부위에 경락마사지를 실시하는 실험을 하였다. 실험을 통해 실험군과 대조군 모두 체중, 허벅지와 종아리 치수, 체지방률이 줄어드는 결과를 얻었다. 체지방률에서는 실험군과 대조군 모두 체지방률이 감소하였다. 다만 대조군과 실험군에서 각각 한 명씩이 체지방률이 약간 증가하였다. 혈액측정을 통한 연구 결과는 실험군과 대조군 모두 총콜레스테롤, LDL, 중성지방, 혈당 수치가 감소하였으나, HDL은 수치가 증가하는 결과를 얻었다. 이를 통해 여대생들의 잘못된 비만 관리가 이상 수치를 일으킬 수 있음을 발견할 수 있었으며 실험자의 각오와 인내심에 따라 결과치가 다름을 알 수 있었다.

식사대용식을 이용한 초저열량 식사요법이 20대 비만 여성들의 심리적 요인과 삶의 질에 미치는 효과 (Effects of Very Low Calorie Diet using Meal Replacements on Psychological Factors and Quality of Life in the Obese Women Aged Twenties)

  • 김지영;김상연;정경아;장유경;최형석;최승;박미현;홍성길;황성주
    • Journal of Nutrition and Health
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    • 제40권7호
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    • pp.639-649
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    • 2007
  • This study was performed to investigate the effects of very low calorie diet (VLCD) using meal replacements that contain the wild grass extracts based on Samul-tang ingredients on psychological factors and quality of life in the obese women $(BMI{\geq}25kg/m^2)$ for four weeks. Seventy five women $(20{\leq}age<26)$ participated in this experiment. Subjects were randomly classified three groups: 1) General diet group (GD roup, n=27) consumed 3 regular meals within 600 kcal/day 2) Meal replacements group (MR group, n=27) consumed 1 regular meal and 2 meal replacements within 600 kcal/day 3) Herbal Meal replacements group (HMR group, n=27) consumed 1 regular meal and 2 meal replacements within 600 kcal/day. Physical factors (weight, BMI, fat (%)) of the HMR group significantly decreased more than those of GD and MR groups. Moreover, binge eating habit and environmental factors (surrounding support, emotional reaction, expression of opinion) of the HMR group significantly decreased more than those of GD and MR groups. Psychological factor and quality of life were no significant differences among three groups during the experimental period, because both were significantly decreased in all groups after 4 weeks. Therefore, very low calorie diet using meal replacements that contain the wild grass extracts based on Samul-tang ingredients for 4 weeks was effective on improvement of psychological factor and quality of life as well as weight reduction in the obese premenopausal women.

Comparative Analysis of the Efficacy and Safety of Oxaliplatin Plus 5-Fluorouracil/Leucovorin (Modified FOLFOX6) with Advanced Gastric Cancer Patients having a Good or Poor Performance Status

  • Hacibekiroglu, Ilhan;Kodaz, Hilmi;Erdogan, Bulent;Turkmen, Esma;Esenkaya, Asim;Uzunoglu, Sernaz;Cicin, Irfan
    • Asian Pacific Journal of Cancer Prevention
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    • 제16권6호
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    • pp.2355-2359
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    • 2015
  • Background: Combination chemotherapy of 5 fluorouracil (5-FU) and leucovorin (LV) with oxaliplatin, mainly FOLFOX regimens, has shown considerable antitumor activity and a tolerable toxicity profile in gastric cancer. The goal of this study was to retrospectively compare the efficacy and toxicity of modified FOLFOX-6 (mFOLFOX6) regimen in advanced gastric cancer (AGC) patients with good and poor performance status (PS). Materials and Methods: AGC patients receiving the mFOLFOX6 regimen including oxaliplatin $85mg/m^2$, bolus of 5-FU $400mg/m^2$ and LV $400mg/m^2$ on the first day, followed by $2400mg/m^2$ of 5- FU as a continious infusion over 46 hour for first-line treatment were eligible for the study. Results: A total 58 patients with a median age of 59.5 (32-81) were included. The median follow up of the study was 9.2 months. Thirty patients (51.7%) with an ECOG PS 0-1 were assigned to the good PS arm, while 28 patients (48.3%) with ECOG PS 2 were in the poor PS arm. Overall response rates were 36.6 and 28.8%, respectively (p=0.91). Median PFS was 6.7 and 6.3 months in good PS and poor PS arms (p=0.50) and median OS was 9.6 and 10.4 months (p=0.55). As compared with good PS arm, poor PS arm was associated with more grade 3-4 neutropenia and anemia. Dose reduction and dose delays were also significantly higher. Conclusions: In this study, mFOLFOX6 was similarly effective in both arms. Although hematologic toxicity was significantly higher in patients with poor PS, it remained manageable. Our results suggest that this regimen may be an effective treatment option for AGC patients with poor PS.

Dynamics and Liver Disease Specific Aspects of Quality of Life Among Patients with Chronic Liver Disease in Yunnan, China

  • Che, Yan-Hua;You, Jing;Chongsuvivatwong, Virasakdi;Li, Li;Sriplung, Hucha;Yan, Yuan-Zhi;Ma, Si-Jia;Zhang, Xiaoli;Shen, Ting;Chen, He-Min;Rao, Shao-Feng;Zhang, Ru-Yi
    • Asian Pacific Journal of Cancer Prevention
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    • 제15권12호
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    • pp.4765-4771
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    • 2014
  • Background: Patients with chronic liver diseases (CLD) may have compromised health related quality of life (HRQoL). Hepatitis B virus (HBV) infection has long been the leading cause of CLD including liver cancer and cirrhosis. Knowledge on different symptom profiles of CLD should help in development of comprehensive treatment and patient care plans. Objective: To access the facets of HRQoL in chronic liver diseases throughout their spectrum of severity. Materials and Methods: A cross-sectional study was conducted in the First Affiliated Hospital of Kunming Medical University in Yunnan Province of China. Both out- and inpatients undergoing treatment protocols for different HBV related liver disease states were consecutively collected from December 2012 to June 2013. ANOVA was used to compare the mean scores of EQ-5D and chronic liver disease questionnaire (CLDQ) among 5 disease groups. The relationship between demographic variables predicting global CLDQ scores and the domains of CLDQ was analysed. Results: A total of 1040 patients including 520 without complications, 91 with compensated cirrhosis, 198 with decompensated cirrhosis, 131 with HCC and 100 with liver failure were recruited. All domains of CLDQ, the means of EQ-5D value and EQ VAS exhibited significant decline with worsening of disease severity from uncomplicated HBV to liver failure. The multivariate regression demonstrated the reduction of mean scores of CLDQ domain at advanced stage. Patients with liver failure and HCC had more HRQoL impairment than other disease states. No effect of patient gender was found. Patient age was associated with 'fatigue' and 'worry' domains (p=0.006; p=0.004) but not with other domains and global scores of CLDQ and ED-5D. Conclusions: The HRQoL in chronic hepatitis B patients is greatly affected by disease states. Care for HBV-related diseases should consider not only the outcomes of treatment strategies but also improvement in patient wellbeing.

유발 부등상시에서 영향인자에 따른 입체시의 비교 (Comparison of Stereopsis by Influence Factors in Induced Aniseikonia)

  • 정수아;김현정
    • 한국안광학회지
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    • 제18권4호
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    • pp.465-471
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    • 2013
  • 목적: 정시안에 유발된 부등상시에서 영향인자들이 입체시에 미치는 효과를 알아보고자 하였다. 방법: 안질환 및 전신질환이 없고, 원용 완전교정 굴절력이 등가구면 굴절력 ${\pm}0.50$ D 이내이며, 교정시력이 1.0 이상, AWAYA 부등상시도 1% 이하의 대학생 20명(평균연령 $22.50{\pm}2.72$세, 남자 14명, 여자 6명)을 대상자로 선정하였다. 대상자의 우위안을 원형구멍카드법(Hole in card method)으로 확인한 후, 우위안 또는 비우위안에 각각 -7.00 D ~ +7.00 D의 콘택트렌즈를 착용시켜 굴절부등시를 유발하고 이를 교정하는 안경을 착용하여 부등상시를 유발한 후 Random Dot Stereo Acuity Test with LEA symbols$^{(R)}$(Vision Assessment Corporation$^{TM}$, USA)를 이용하여 입체시를 측정하였다. 결과: 우위안에 부등상시를 유발한 경우, 굴절부등시 유발을 위한 착용 콘택트렌즈 굴절력이 큰 경우, (+) 콘택트렌즈 착용 후 (-) 안경렌즈로 교정한 경우, 남자인 경우에서 부등상시 유발에 따른 입체시의 저하가 더욱 크게 나타났다. 결론: 부등상시는 입체시의 저하를 일으킬 수 있으므로 굴절부등시 교정 시에는 이를 고려하여야 한다.