• Title/Summary/Keyword: allergy rhinitis

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Ambient air pollution and allergic diseases in children

  • Kim, Byoung-Ju;Hong, Soo-Jong
    • Clinical and Experimental Pediatrics
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    • v.55 no.6
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    • pp.185-192
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    • 2012
  • The prevalence of allergic diseases has increased worldwide, a phenomenon that can be largely attributed to environmental effects. Among environmental factors, air pollution due to traffic is thought to be a major threat to childhood health. Residing near busy roadways is associated with increased asthma hospitalization, decreased lung function, and increased prevalence and severity of wheezing and allergic rhinitis. Recently, prospective cohort studies using more accurate measurements of individual exposure to air pollution have been conducted and have provided definitive evidence of the impact of air pollution on allergic diseases. Particulate matter and ground-level ozone are the most frequent air pollutants that cause harmful effects, and the mechanisms underlying these effects may be related to oxidative stress. The reactive oxidative species produced in response to air pollutants can overwhelm the redox system and damage the cell wall, lipids, proteins, and DNA, leading to airway inflammation and hyper-reactivity. Pollutants may also cause harmful effects via epigenetic mechanisms, which control the expression of genes without changing the DNA sequence itself. These mechanisms are likely to be a target for the prevention of allergies. Further studies are necessary to identify children at risk and understand how these mechanisms regulate gene-environment interactions. This review provides an update of the current understanding on the impact of air pollution on allergic diseases in children and facilitates the integration of issues regarding air pollution and allergies into pediatric practices, with the goal of improving pediatric health.

The Role of the Immune System in the use of Probiotic Lactic Acid Bacteria in Preventing and Treating Allergic Diseases

  • Choi, Kyeong-Ok;Nguyen, Hoang-Hai;Kwak, Hae-Soo
    • Food Science of Animal Resources
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    • v.30 no.1
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    • pp.1-12
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    • 2010
  • The immune system is generally divided into the innate and the adopted immune systems, both protecting the body from pathogens. Recently, allergies, a disease associated with an imbalanced immune system, have increased rapidly in developed countries. Prevailing symptoms of allergic diseases are eczema, allergic rhinitis, asthma, inflammatory bowel disease, and food allergy. Probiotic bacteria, mainly consisting of lactic acid bacteria, are used in the prevention and treatment of allergic diseases. The function of them is to stimulate the intestinal immune cells and form a complex signal network to activate other immune cells. Beneficial health effects of probiotics are based on the hygiene hypothesis, which suggests that sanitary environment is important for health, but limited exposure to environmental factors increases allergic diseases. An immunoregulatory effect of probiotic bacteria is demonstrated by controlled trial, animal model, in vitro, in vivo and ex vivo designs. However, the immunoregulatory effect of probiotic bacteria is controversial because it depends on probiotic strains, a dose and a type of diseases. In this review, we discussed clinical evidences on immunoregulatory effects of probiotic bacteria.

Microstructure of Faecal Pellets and Silk of the Two Spotted Spider Mite, Tetranychus urticae (Tetranychidae: Acarina) (점박이응애 분비물의 미세구조)

  • Shin, Hee-Kwan;Yoo, Sea-Hee;Lee, Won-Koo;Park, Joong-Won;Lee, In-Yong
    • The Korean Journal of Soil Zoology
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    • v.11 no.1_2
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    • pp.7-12
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    • 2006
  • Asthma and allergic rhinitis due to outdoor spider mites are major health problems worldwide. The sensitization route to spider mites has not yet been well elucidated. We examined the microstructure of faecal pellets and silk of the two-spotted spider mite, Tetranychus urticae, using a field emission scanning electron microscope. Black and white pellets of the two-spotted spider mites faeces contain a large amount of plant pigment waste products. Black faecal pellets are strawberry-shaped. White faecal pellets are silken threads. These pellets are likely to be the source of allergens of relevant mites because desiccated faeces particles probably disintegrate and become incorporated into dust particles more readily than whole bodies or encased internal organs. We conclude that the importance of spider mites in respiratory allergy needs emphasis.

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A Study on the Residents' Awareness on the Occurrence of Allergic Diseases in Residential Buildings (주거내 알레르기성 질환 발생현황 및 거주자 의식 조사연구)

  • Kim, Sung-Hwa;Jang, Mun-Young;Lee, Jae-Hoon
    • Korean Institute of Interior Design Journal
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    • v.22 no.2
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    • pp.140-148
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    • 2013
  • The purpose of this study is to examine the current status of allergic diseases associated with the housing environment and the psychological attitude of residents towards relevant risk factors. This study surveyed 1,200 people. In the first round, 200 participants were questioned through direct survey methods, while 1,000 participants filled out an online survey in the second round. Selected study subjects consisted of allergic diseases known to be closely related to housing environment factors. With advice from medical experts, the analysis included the examination of the prevalence status regarding five types of allergy-related diseases-allergic conjunctivitis, allergic rhinitis, allergic dermatitis, asthma and headache-with the range of disease incidence set within the past ten years. The survey was conducted on all age groups except those nine years old and younger, and the findings are as follows. Allergic diseases were found to be more prevalent among women than men. Residents identified effective methods for the alleviation and treatment of allergic diseases as ventilation, use of environmentally-friendly finishing materials, maintenance of a clean living space through cleaning or washing, and sunlight exposure. Residents' understanding of allergic diseases varied depending on their experience with such diseases and residential characteristics.

Effects of the Mother-Medical Staff Partnership on Mothers' Condition Management Ability for Children with Chronic Allergic Diseases (만성 알레르기 질환 아동의 어머니-의료진 간 파트너십이 어머니의 아동 상태 관리능력에 미치는 영향)

  • Son, Hae Kyoung;Song, Hyo Bin;Kim, Dong Hee
    • Child Health Nursing Research
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    • v.24 no.1
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    • pp.101-108
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    • 2018
  • Purpose: This study aimed to identify the effects of the mother-medical staff partnership on mothers' condition management ability for children with chronic allergic diseases. Methods: A total of 109 Korean mothers caring for a child with a chronic allergic diseases, identified according to the allergic march, such as food allergy, atopic dermatitis, allergic rhinitis, and allergic asthma, were recruited from the pediatric department of a general hospital in Seoul through convenience sampling. Data were collected using structured self-reported questionnaires from August 1, 2017 to October 31, 2017. and analyzed by descriptive statistics and multiple regression using SPSS version 22.0. Results: The Mother-medical staff partnership had a statistically significant effect on mothers' condition management ability for children with chronic allergic diseases (p<.05). Among the general characteristics, satisfaction with nursing services had a statistically significant effect on mothers' condition management ability (p<.05). Conclusion: In conclusion, strategies to support children with chronic allergic diseases, as well as their caregivers, should consider the mother-medical staff partnership as part of a family-centered approach.

Allergy 비염(鼻炎)에 관(關)한 임상적(臨床的) 고찰(考察)

  • Kim, Se-Il;Park, Dong-Il
    • The Journal of Internal Korean Medicine
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    • v.19 no.1
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    • pp.353-363
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    • 1998
  • This study involved 30 allergic rhinitis outpatients of section 5 of oriental medical center attached Dong Eui Uni. from April 2, 1997 to May 14, 1998. The results of this study are as follows ; 1. Men were 13 persons (43.33%) and women were 17 persons (56.67%) in sex distinction. 2. In age distinction, 1-10 years (36.67%), 11-20 (23.33%), 41-50 (16.67%), 21-30 (13.33%), 31-40 (6.67%), 61-70 (3.33%) in order of majority. 3. Acupuncture treatment of 16-20 times is 11 persons (36.67%), 26-30 times is 8 persons (26.67%), 21-25 times is 6 persons (20.00%), 11-15 times is 4 persons (13.33%), more than 31 times is 1 persons (3.33%) in order of majority. 4. The symptoms were starting to be improved apprently from more than 26 times, and it was found that the more treatments, the higher favorable turn. 5. Outbreak frequency of symptoms was rhino-cleisis, rhinorrea, ophthalmopathy, headache, sneeze, asthma, dermatitis, and sputum in order of majority. 6. Kamisunohtang of treated prescrptions is the most (80%). The effects were, rhinorrea (83.33 sneeze (66.67%) rhino-cleisis (52.17%), headache (50.00%), ophthalmopathy (20%) in order of favorable turn. 7. Favorable turn of symptoms were rhinorrea, rhino-cleisis, headache, sneeze, sputum, asthma, ophthalmopathy in order.

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Stellate Ganglion Block for the Treatment of Atopic Dermatitis -A case report- (아토피성 피부염 환자의 성상신경절 차단 -증례보고-)

  • Kim, Seong-Kon;Lee, Kyu-Chang;Kang, Po-Sun;Woo, Nam-Sik;Lee, Ye-Chul
    • The Korean Journal of Pain
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    • v.8 no.1
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    • pp.124-126
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    • 1995
  • Atopic allergy implies a familial tendency to manifest alone or in combination such as asthma, rhinitis, urticaria and atopic dermatitis. The patient with atopic dermatitis shows a variety of humoral and cell-mediated immune dysfunction, including an elevation of serum IgE level, multiple positive immediate skin tests to a variety of antigen. A 30 year old female patient suffering from an atopic dermatitis on face, has been administered a stellate ganglion block(SGB) with a 1% mepivacaine 5cc. She complained of bronchial hyperresponsivness such as cough, soreness, and inspiration difficulty for 5 days following the treatment, so we have reduced 1% mepivacaine dose from 5cc to 3cc. She had no complain of bronchial hyperresponsivenss and the lesion of atopic dermatitis was improved. From our result we conclude that SGB appears to be a good choice for the treatment of the atopic dermatitis and only 1% mepivacaine 3cc is possible in complete SGB.

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A Clinical Study of Otitis Media with Effusion in the Oriental Medicine. (삼출성 중이염에 대한 임상적 고찰)

  • Kim, Yun-Beom;Chae, Byeong-Yun
    • The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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    • v.5 no.1
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    • pp.133-142
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    • 1992
  • We analyzed clinical study in 47 patients, who had visited to the Dept. of Otolaryngology, Hospital of Oriental Medicine, Kyung Hee University to treat Otitis media with effesion from March, 1991 to February, 1992. The clinical etiology of O.M.E. was tubal occlusion, acute otitis, and allergy. The clinical symptoms were hearing loss, tinnitus, sneezing, coughing, Chun-I(纏耳), and BEE-Yeon(鼻淵) in the Oriental Medicine. The results were as follows. 1. There were 26 males ($55\%$) and 21 females ($45\%$) in sex. 2. The peak age at onset was 1-4 years old (11Cases). 3. Bilateral effusion was in $62\%$, and unilateral in $38\%$. 4. The etioloigic factors were upper respiratory infection 16 cases, Allergic rhinitis 13 cases, Sinusitis 8 cases, etc. 5. The most common chief complaint was hearing loss ($30\%$). 6. There was no significant difference between blood types in O.M.E., ( A type $30\%,\;B\;type\;25\%,\;AB\;type\;13\%,\;0\;type\;13\%$, Unknown recorded $9\%$ ). 7. $21\%$ patients prefered warm and the others cold 8. As for digestion, good was in 31 cases ($81\%$), and poor 9 cases ($19\%$). 9. Man-Hyung-Ja-San Extract was most used in treatments as $38\%$, O-Ryung-San $35\%$ in descending order. 10. As for treatment period, 14 cases were treated over 12 weeks, 9 cases below 1 week

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The prevalences of asthma and allergic diseases in Korean children (한국 소아알레르기 질환의 유병률)

  • Hong, Soo-Jong;Ahn, Kang-Mo;Lee, Soo-Young;Kim, Kyu-Earn
    • Clinical and Experimental Pediatrics
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    • v.51 no.4
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    • pp.343-350
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    • 2008
  • Asthma and allergic diseases are one of the most common disorders in children. Due to its increased prevalence, as well as the increased morbidity and mortality from these diseases, asthma and allergic diseases have come to be recognized as a major worldwide public health issue. In addition, socioeconomic burden of asthma and allergic diseases has increased in Korea also. The International Study of Asthma and Allergies in Childhood (ISAAC) investigated the worldwide prevalence of asthma and other allergic diseases using simple standardized methods because of the comparison of asthma and allergic diseases between the countries. In Korea, several epidemiologic studies have been conducted to determine the prevalence of asthma in children. Although these studies showed increased prevalence of asthma among Korean children (from 3.4% in 1964 to 10.1% in 1989), these findings were based on data from small numbers of subjects. The first Nationwide Study of Asthma and Allergies in Korean Children, which utilized the Korean version of ISAAC written and video questionnaire, was conducted in 1995 and the second Nationwide Study of Asthma and Allergies in Korean Children was conducted in 2000, directed by the Korean Academy of Pediatric Allergy and Respiratory Diseases. We report here the prevalence of asthma and other allergic diseases in Korean children and adolescents, and show the changes that occurred over this 5 year period. We also describe the risk factors for development of these diseases in Korean children. We developed Korean versions of the ISAAC written (WQ) and video (AVQ) questionnaires for allergic diseases. In 1995, the enrolled population consisted of 25,117 children selected from 34 elementary school and 14,946 children selected from 34 middle school across the nation, the response rate was 94.8%. In 2000, 27,831 children selected from 34 elementary school and 15,214 children selected from 34 middle school, and the response rate was 96.4%. From these studies, we can confirm that increase of the prevalences of asthma, allergic rhinitis, and atopic dermatitis in Korea, except the prevalence of food allergy. Especially, the video questionnaire showed increases in the lifetime and 12 month prevalence rates of wheeze at rest, exercise-induced wheeze, nocturnal wheeze, nocturnal cough, and severe wheeze over this period of time in middle school children. In addition, the increase of prevalences of symptoms, diagnosis and treatment of atopic dermatitis was noted significantly. Risk factor analysis showed that body mass index (BMI), passive smoking and living with a dog or cat were associated with higher risk of wheeze. Also the occurrence of fever during infancy and the frequent use of antibiotics were associated with the risk of wheeze. In conclusion, during the 5 year period from 1995 to 2000, the prevalences of asthma, allergic rhinitis, and atopic dermatitis has increased in Korean children. BMI, passive smoking, living with a dog or cat, the fever episodes in infancy, and the frequent use of antibiotics in infancy are important risk factors to development of asthma and atopic dermatitis. In the near future, the birth cohort study will be needed to investigate the causes of this increase and the natural course of allergic diseases, then we develop the methods to control asthma and allergic diseases.

A Study of the "Ikkando Medicine" in Japanese Oriental Medicine (일본(日本) 한방의학(韓方醫學)의 체질의학(體質醫學)인 《일관당의학(一貫堂醫學)》에 관(關)한 고찰(考察))

  • Joh, Kiho;Park, Seong Sik;Terasawa, Katsutoshi;Shimada, Yutaka;Lee, Won Chul
    • Journal of Sasang Constitutional Medicine
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    • v.9 no.1
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    • pp.339-352
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    • 1997
  • The oriental medicine based on the traditional chinese medicine has developed according to the historical and racial character respectively in China, Korea and Japan etcs. Particularly, the distinctive feature of Korea & Japan is characterized by the development of constitutional medicine compared with chinese medicine; Sasang Medicine of Korea and Ikkando Medicine of Japan. The constitutional medicines were so far developed by many clinical doctors, and in recent years much interest has centered on the application of these medicines in regarding originality, easiness and effectiveness etcs in treatment. Thus far only few attempts have been made at Ikkando medicine in Korea, what seems to be lacking, however, is practical application in clinic. Thus authors intend to help the clinical application by introducing Ikkando medicine to Korea oriental medicine through this paper. The Ikkando medicine was established by Dohaku Mori(1869~1931) and was known through the "Kampo Ikkando Medincine" which was published by his disciple, Kaku Yakazu(1893~1966), classified human beings into three types; type of blood stasis, type of stroke and type of allergy. The type of blood stasis may be responsible for factors which have occurred by a state of insufficient bleed circulation and blood stasis causing lesione of endothelial cells, and Tongdosan is mainly administrated. The predisposing factor of stroke's type is known as the excessive diet, and the prevalence of cerebrovascular accident is probably higher. In this type, it is likely that patients are prevented and cured with Bangpungtongsunsan. Allergy's type have three distinct types of childhood, adolescence and adult as to the age. Allergy's type of childhood predisposes patients such as these to upper respiratory infection and tuberculosis etcs, and Sihocheonggansan is frequently administrated. Allergy's type of adolescence has a tendency to rhinitis and infection of face legion etcs, and Heunggyeyeoungyotang is mainly administrated. Allergy's type of adult is subject to urogenital infection, and is more commonly treated with Yongdamsagantang. Judging from the above, we can say with fair certainty that Ikkando Medicine has considerable validity to clinical practice, though it should not be pushed too far.

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