• 제목/요약/키워드: chronic

검색결과 13,334건 처리시간 0.039초

Acute-on-Chronic Subdural Hematoma : Not Uncommon Events

  • Lee, Kyeong-Seok;Shim, Jae-Jun;Yoon, Seok-Mann;Doh, Jae-Won;Yun, Il-Gyu;Bae, Hack-Gun
    • Journal of Korean Neurosurgical Society
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    • 제50권6호
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    • pp.512-516
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    • 2011
  • Objective : Patients with asymptomatic chronic subdural hematoma (SDH) are prone to fall or slip. Acute trauma on these patients may develop acute subdural bleeding over the chronic SDH. We recently experienced 9 patients with acute-on-chronic SDH. We report the clinical and radiological features of this lesion. Methods : We retrospectively examined the computed tomographic (CT) scans of 107 consecutive patients who diagnosed as chronic SDH from January 2008 to December 2010. All cases of CSDH were diagnosed on CT with or without MRI scan. Results : Acute-on-chronic SDH is not rare, being 8% of chronic SDH. The most common cause of trauma was a slip in drunken state. Alcoholism with multiple episodes of trauma was one of the prominent histories. Acute-on-chronic SDH appeared as a hyperdense layer of clot with irregular blurred margin or lumps in liquefied hematoma. Single or two burr holes was usually effective to remove the hematoma. Conclusion : Repeated trauma may cause acute bleeding over the chronic SDH. It will be helpful to understand the role of repeated trauma as a mechanism of hematoma enlargement.

만성스트레스 검출을 위한 멀티 센서시스템 연구 (A Study on Multi-Sensor System for Detection of Chronic Mild Stress)

  • 이지형;김경호
    • 전기학회논문지
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    • 제59권6호
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    • pp.1131-1135
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    • 2010
  • The development of modern civilization result from the abundance of material. Yet modern people live with chronic mild stress. Excessive chronic mild stress leads to various diseases. From the risk of the disease in order to protect our bodies need to manage chronic mild stress. The purpose of this study is to inspection the effectiveness of detecting in chronic mild stress using the Multi-sensor system. The Multi-sensor system is designed that can be measure three kinds of vital signals of chronic mild stress for the detection. First Photoplethysmogram(PPG), second Electro Dermal Activity(EDA), third Skin Temperature(SKT). The ages and occupations exposed to chronic mild stress, people often use out of this system was applied to dairy products(Pen). In addition, vital signals that occur when the variety of noise was used to remove the accelerometer. Chronic mild stress by the analysis of measured vital signals from Multi-sensor system to the measurement information to a PC to a wireless transmission(Bluetooth). In this study, using Multi-sensor system writing conditions and a variety of situations in the movement to measure vital signals and measurement results verified the accuracy and reliability. Through this measure chronic mild stress in everyday life and managing to maintain will help more healthy lifestyle.

노인의 만성통증과 통증신념, 통증대처 및 피로에 관한 연구 (A Study on Chronic Pain, Pain Beliefs, Pain Coping, and Fatigue in the Elderly)

  • 장혜경
    • 성인간호학회지
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    • 제18권3호
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    • pp.377-385
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    • 2006
  • Purpose: This study were to examine the relationship among chronic pain, pain beliefs, pain coping, and fatigue and to define the main factors influencing chronic pain in the elderly. Method: Data were collected by self-reported questionnaires from 276 Korean elderly. Data analysis was done with SPSS 10.1 for descriptive statistics, t-test, ANOVA, Pearson Correlation Coefficient, and Stepwise multiple regression. Results: Chronic pain score was 5.45, which was slightly higher than the average. There were significant differences in chronic pain according to age, marital state, economic state, and duration of pain. There was a significant positive correlation between chronic pain and pain beliefs, passive pain coping, physical fatigue and mental fatigue. In addition, there was a significant negative correlation between chronic pain and active pain coping. Stepwise multiple regression analysis showed that 44% of the variance in chronic pain was significantly accounted for by passive pain coping(31%), pain beliefs(8%), physical fatigue(4%), and active pain coping(1%). Conclusion: These results suggested that pain beliefs, pain coping, and fatigue can be influencing factors on chronic pain for the elderly. Also, the findings can provide a basis for nursing intervention development to effectively manage chronic pain for the elderly.

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세포교정영양요법(OCNT)을 이용한 만성 소화불량 환자 개선 사례 연구 (Case Study of Improvement in Chronic Dyspepsia Patient Using Ortho-Cellular Nutrition Therapy (OCNT))

  • 손민수
    • 셀메드
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    • 제13권7호
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    • pp.23.1-23.3
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    • 2023
  • Objective: Case report of improvement in chronic indigestion with Cellular Nutritional Therapy (OCNT) Methods: A 60-year-old Korean male with chronic indigestion characterized by frequent belching and bloating, leading to a significant decline in quality of life. Results: Improvement in chronic indigestion observed after implementing nutritional therapy. Conclusion: Nutritional therapy can be beneficial in alleviating symptoms of chronic indigestion in patients.

노인들의 건강증진행위와 만성질환과의 관련요인 (Factors Related to Health-promoting Behaviors and Chronic Diseases in the Elderly)

  • 김문환;이동호
    • 보건교육건강증진학회지
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    • 제28권2호
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    • pp.99-107
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    • 2011
  • Objectives: The purpose of this study is to investigate the relationship between health promotion behaviors and chronic disease prevalence of Korean elderly and to provide information for preventing chronic diseases and improving health conditions of the elderly. Methods: A subset of 584 cases in the fourth Korea National Health and Nutrition Examination Survey was used for secondary analysis. Chi square test was used to compare chronic diseases prevalence by general characteristics and health promotion behaviors. Logistic regression analysis was used to identify the factors associated with chronic diseases. Results: Gender, occupation, subjective health status, smoking, and alcohol drinking have significant association with chronic diseases. Conclusions: Gender-specific health education for the elderly should be implemented at the health center, and opportunities for social participation can be enhanced through job creation for the elderly. Active campaigns on smoking cessation and moderate drinking are needed to prevent and manage chronic diseases of the elderly.

만성질환아의 자기관리에 대한 개념 분석 (Concept Analysis of the Self Management in Children with Chronic Disease)

  • 이숙영
    • 한국보건간호학회지
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    • 제31권1호
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    • pp.121-134
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    • 2017
  • Purpose: The goal of this study was to define and clarify the concept of "self management" of children with chronic diseases. Methods: For analyzing the concept of self management, this study used the hybrid model. This study involved in-depth interviewing nine children with chronic disease. Results: The concept of self management of children with chronic disease can be categorized with three dimensions: internal, environmental, and behavioral aspects. Besides, five attributes and thirteen indicators were analyzed. The concept of self management of children with chronic disease can be expressed as a kind of process; a) re-established yourself (internal dimension), b) assistance by the surrounded (environmental dimension), and c) positive health management behavior with self control of daily life (behavioral dimension). Conclusion: The self management is important for children with chronic disease to control their disease for long time. The attributes and indicators drawn by this study could be used for tool development and useful resources of self management competence in children with chronic disease.

침 근전도로 측정한 만성 요통 환자의 어깨 굴곡시 나타나는 다열근 활성도 비교 (A Study on multifidus muscle activation by Needle EMG during shoulder flexion in Chronic Low Back Pain Patients)

  • 장원석
    • 대한물리치료과학회지
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    • 제18권3호
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    • pp.63-69
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    • 2011
  • Purpose : The purpose of study is activation of lumbar multifidus muscle by needle EMG during shoulder flexion in chronic low back pain patients. The subject were consisted of 10 women patients with chronic low back pain and healthy asymtomatic subject 10 women. Methods : 10 women patients with chronic low back pain and healthy asymptomatic subject 10 women is voluntary participated for the research. Subjects were positioned in standing. The needle EMG were measured activation of multifidus. Needle electrode was used to 28 gauge. The shoulder flexion movement used to activate the multifidus was then measured. Results : Results of the analysis showed that asymptomatic subjects had significantly larger multifidus muscle activation compared with CLBP subjects during shoulder flexion. Conclusion : This study will be used as multifidus measurement method of patient with chronic LBP. The multifidus muscle in chronic LBP patient clinical significance. Most of chronic LBP patients have multifidus contraction pattern. Therefore chronic LBP patients necessary multifidus activation measurement with needle EMG.

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Avidity of serum immunoglobulin G antibodies to Porphyromonas gingivalis in the elderly with chronic periodontitis

  • Choi, Yoon-Jeong;Lee, Seok-Woo
    • International Journal of Oral Biology
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    • 제44권1호
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    • pp.14-19
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    • 2019
  • The present study aimed at evaluating serum immunoglobulin G (IgG) avidity to Porphyromonas gingivalis in elderly patients with mild and severe chronic periodontitis. The avidity of antibodies against P. gingivalis present in the sera of 18 patients with mild chronic periodontitis and 18 patients with severe chronic periodontitis was evaluated using an ammonium thiocyanate-dissociated enzyme-linked immunosorbent assay (ELISA). The results showed that the mean absorbance value in serum IgG antibody titers was significantly higher in the severe chronic periodontitis group than in the mild chronic periodontitis group ($198{\pm}35ELISA$ unit [EU] vs. $142{\pm}32EU$, p < 0.01). However, there was no significant difference between the two groups in antibody avidity ($65{\pm}57EU$ vs. $54{\pm}27EU$). These findings suggest that humoral immune responses to P. gingivalis between mild and severe chronic periodontitis in elderly patients are characterized by the differences in the quantity rather than the quality of the antibodies.

황기가 흰쥐의 만성 신손상에 미치는 영향 (Effects of Astragali Radix (AR) on Chronic Renal Injury in Rats)

  • 이권호;한양희;김용성
    • 대한한방내과학회지
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    • 제31권1호
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    • pp.66-78
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    • 2010
  • Objective : This study was designed to investigate the possibility of AR for chronic renal injury. Methods : The author first investigated the expression levels of DNA by inducing of chronic renal injury. Then, the author investigated the effects of AR on chronic renal injury induced by combination treatment with Adriamycin and cisplatin in terms of changes in body weights and renal tissues, urine volume, BUN and creatinine levels, creatinine clearance and histopathological changes in renal tissues. Total expression levels of 546 genes were elevated or lowered by induction of chronic renal injury. Genes of which whose expression levels were elevated by induction of chronic renal injury were related to the PPAR signaling pathway and fatty acid mechanism, etc. Genes of which expression levels were lowered by induction of chronic renal injury were related to the neuroactive ligand-receptor signaling pathway. Results : Oral administration of AR restored renal mass which was reduced by induction of chronic renal injury. AR also restored creatinine clearance and lowered serum BUN level. In histopathological observation, the AR group has a tendency to prevent tissue damages as shown in the chronic renal injury group. Conclusions : AR can be used to treat patients with chronic renal injury although further study will be needed to elucidate the exact mechanisms in the efficacy of AR on chronic renal injury.

만성변비환자의 한열변증에 따른 심박변이도에 관한 연구 (Relationship between Heart Rate Variability and Cold-Heat Patternization in Patient with Chronic Constipation)

  • 박종주;이명수;공경환;고호연
    • 대한한방내과학회지
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    • 제33권2호
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    • pp.209-221
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    • 2012
  • Objectives : The aim of this study was to investigate the relationship between the autonomic nervous system and the cold-heat pattern in patients with chronic constipation. Methods : Subjects with chronic constipation (n=30) and without chronic constipation (n=20) were recruited, interviewed and measured for heart rate variability (HRV). Chronic constipation was defined as functional constipation and Irritable Bowel Syndrome (IBS) with constipation based on Rome III criteria. We surveyed patients' general characteristics, categorized by cold-heat pattern, and took measurement of HRV for 5 minutes. Analysis was conducted among these three indices. Results : Women accounted for most of the subjects with chronic constipation (96.7%). In groups with or without constipation, the number of cold patterns was more than of heat patterns. The mean heart rate of subjects without chronic constipation was significantly higher than that of subjects with chronic constipation. No other statistical significance was noted among indices of HRV and cold-heat pattern. Conclusions : Through this study, there were few relationships between autonomic nervous system measured by HRV and cold-heat pattern in chronic constipation.