• Title/Summary/Keyword: clinical sample

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A clinical study based on Sasang Consitutional Medicine on the treatment of atopic dermatitis (아토피 피부염 치료에 관한 사상의학적 임상연구)

  • Gu, Deok-Mo
    • Journal of Sasang Constitutional Medicine
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    • v.14 no.2
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    • pp.69-77
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    • 2002
  • Purpose: Atopic dermatitis, which is one the prevalent allergic diseases in toddlers and adolescent population, has not been treated with Sasang Constitutional Medicine due to the limitation of constitution differentiation in children. This study was aimed to examine the effect of treatment for atopic dermatitis with Sasang Constitutional Medicine. Method: Forty-three patients over age 3 who were diagnosed with atopic dermatitis by the criteria of Hanifin and Rajka were participated in this study from August, 2001 thru May, 2002 at the Pohang Oriental Medicine Hospital, Kyungsan University. Result: 1. Soyangin showed the highest proportion of 79% of the sample. 2. The symptom of the disease by patients' constitution according to the degree of affected skin and itching was severe in Soyangin, and mild in Soeumin 3. For treatment 9 kinds of prescription regimen were given; Yangkyuksanhwatang was mostly used for Soyangin followed by Hyungbangsabaksan. Hayngsayangwetang and Galgunhaegitang were prescribed for Soeumin and Taeumin, respectively. 4. The treatment effect was found in 84% (n=36) of the patients markedly. Six out of seven who showed no progress were Soyangin. Conclusion: The treatment based on the constitution differentiation and prescription of the Sasang Constitutional Medicine was effective for the symptom alleviation in a short term period in atopic dermatitis. Further clinical study is needed to prove the effect of Sasang Constitutional Medicine in a larger sample and various diseases.

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Influence of biliary stents on the diagnostic outcome of endoscopic ultrasound-guided tissue acquisition from solid pancreatic lesions: a systematic review and meta-analysis

  • Suprabhat Giri;Shivaraj Afzalpurkar;Sumaswi Angadi;Jijo Varghese;Sridhar Sundaram
    • Clinical Endoscopy
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    • v.56 no.2
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    • pp.169-179
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    • 2023
  • Background/Aims: This meta-analysis analyzed the effect of an indwelling biliary stent on endoscopic ultrasound (EUS)-guided tissue acquisition from pancreatic lesions. Methods: A literature search was performed to identify studies published between 2000 and July 2022 comparing the diagnostic outcomes of EUS-tissue acquisition (TA) in patients with or without biliary stents. For non-strict criteria, samples reported as malignant or suspicious for malignancy were included, whereas for strict criteria, only samples reported as malignant were included in the analysis. Results: Nine studies were included in this analysis. The odds of an accurate diagnosis were significantly lower in patients with indwelling stents using both non-strict (odds ratio [OR], 0.68; 95% confidence interval [CI], 0.52-0.90) and strict criteria (OR, 0.58; 95% CI, 0.46-0.74). The pooled sensitivity with and without stents were similar (87% vs. 91%) using non-strict criteria. However, patients with stents had a lower pooled sensitivity (79% vs. 88%) when using strict criteria. The sample inadequacy rate was comparable between groups (OR, 1.12; 95% CI, 0.76-1.65). The diagnostic accuracy and sample inadequacy were comparable between plastic and metal biliary stents. Conclusions: The presence of a biliary stent may negatively affect the diagnostic outcome of EUS-TA for pancreatic lesions.

Nursing Students' Stress and Anger Experience in the Clinical Setting (간호학생의 임상실습과 관련된 스트레스와 분노경험)

  • Park, Mi-Young
    • The Journal of Korean Academic Society of Nursing Education
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    • v.7 no.1
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    • pp.7-21
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    • 2001
  • The purpose of this study was identify the level of stress, anger and anger expression in the clinical setting and identify the relation ships between anger and stress of nursing students in the clinical setting. A convenient sample of 213 junior college of nursing students was used for the study. The data were analyzed by descriptive statistics and Pearson Correlation Coefficients. The results of this study were summarized as follows : 1. The average stress score in the clinical setting of subjects was 3.87. The higher level of stress in the clinical setting was 4.10 in domain of nurses, 4.10 in domain of human relationships, 4.07 in domain of report and 3.89 in domain of relationship between nursing theory and practice. 2. The average state-anger score of subjects was 1.54. 3. The average anger-out score of anger expression mode was 1.66 and 2.36 in anger-in. 4. The state-anger was found significantly related to stress of nursing students in the clinical setting (r=0.256 p<0.001). In the relationship between state- anger and stress in the clinical setting, environment, patient relationship, between nursing theory and practice, nurses, report, orientation were significantly positive correlation . 5. The anger-out of anger expression mode was not found significantly related to stress of nursing students in the clinical setting. 6. The anger-in of anger expression mode was found significantly related to stress of nursing students in the clinical setting (r=0.205 p<0.01). In the relationship between anger-in of anger expression mode and stress in the clinical setting, environment, patient, nurses, human relationships, conference were significantly positive correlation.

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Analysis of Copper, Zinc in Serum Using ICP-MS & AAS (ICP-MS와 AAS를 이용한 체내 혈청 Cu, Zn 분석에 관한 연구)

  • Lee, Yea-Jin;Kim, Dong-Yub;Lee, Go-Eun;Jo, Young-Suk
    • Korean Journal of Clinical Laboratory Science
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    • v.41 no.1
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    • pp.31-36
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    • 2009
  • The exposure of human beings to toxic trace metals (Cu, Zn) continues to be an important public health issue and concern. This study was conducted to assess the exposure to trace metals (Cu, Zn) in the general Korean population by inductively coupled plasma mass spectrometry (ICP-MS) and Atomic absorption spectrometry (AAS). Serum samples were obtained from 40 healthy volunteers. Specimens were collected in special container and we applied sample processing to minimize contamination. We used ICP-MS and AAS to analyze simultaneously the concentration of metals including copper, zinc. Distribution of trace metal levels in the general healthy population showed lower values. The results in this study can provide background data for clinical studies associated with trace metal exposure in the korean population.

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Clinical study of implant supported removable partial dentures (임프란트 지지 국소의치의 임상적 연구)

  • Park, Won-Hee
    • The Journal of the Korean dental association
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    • v.47 no.4
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    • pp.184-190
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    • 2009
  • OBJECTIVE The purpose of clinical study was to evaluate the survival of dental implants used in restoring patients with implant supported removable partial dentures (ISRPDs) of different configurations. MATERIALS AND METHODS The sample consisted of 20 consecutively treated partially edentulous patients, who, between 2003 and 2008, had a total of 84implants placed in different arch sites and who were treated with ISRPDs. The mean age was 57 years. Mean follow up time from delivery of ISRPDs was 3 years 2 months (range, 1 to 6 years). Osseointegration failure, postoperative complication of dental prosthesis, and the success rate of ISRPDs were retrospectively evaluated using clinical and radiographic examination. RESULT The overall implant survival rate was 100%. During follow up, the one clasp of removable partial denture was broken in 1 year11 months after prosthesis delivery. All patients were satisfied with their prosthesis. CONCLUSIONS Implant supported removable partial dentures could serve as favorable prognosis. Careful patient selection, with an appropriate maintenance and recall system, is recommended to obtain satisfactory results.

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Current Progress in the Screening for Antitumor Drugs of National Origin (천연물 유래항암물질 검색のためのスクリ-ニソグ연구)

  • 코이치
    • Korean Journal of Plant Resources
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    • v.3 no.2
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    • pp.129-138
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    • 1990
  • Now, many anticancer drugs are applying in the clinical side, but there is no conclusive effect of such a chemotherapy. Development ofnovel clinical useful anticancer drugs would be dependenton the screen-ing system and its test sample sources. So, it is necessary to outlinesome background on the tumor systems which have been used for screen-ing. This paper describes mainely on National Cancer Institute (NCI)program for anticancer screening systems, because the large number ofcompounds have been screened at NCI prograB and their relationship ofassesment between experimental animals and clinical Patients has beendiscussing and the uniform screefing protocols for various tumorsystens. At the end of this paper, some literatures of antitunor substances from various higher Plants at our laboratory are showed.

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Clinical Pathway Verification through Process Mining

  • Jung, Jong-Duk;Kim, Suk-Hoon;Yeo, Hyun-Jin
    • Journal of the Korea Society of Computer and Information
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    • v.23 no.4
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    • pp.115-120
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    • 2018
  • A Clinical Pathway(CP) is standard process to way of treat diseases or injuries which is adapted to each hospital based on National Clinical Practice Guideline(CPG). Since CP is standard guideline for doctors and nurses working in a hospital, making and modifying CP is one of the most important administrational work for hospital and also rare work because once it is fixed, it's not changed whether there are new kind of disease discovered or new treatment is developed. However, in present, patient's waiting time during hospital residence process, is discussed as service competitive for patients. In this research, we utilize process mining tool to verify patients treatment process follows CP with EMR(Electronic Medical Record) in a sample hospital, and suggest modifcation point of CP through verification.

Genetic Variation in Exon 3 of Human Apo B mRNA Editing Protein (apobec-1) Gene

  • Hong, Seung-Ho;Song, Jung-Han;Kim, Jin-Q
    • Journal of Genetic Medicine
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    • v.3 no.1
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    • pp.15-19
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    • 1999
  • We have investigated the genetic variation in the human apo B mRNA editing protein (apobec-1) gene. Exon 3 of the apobec-1 gene was amplified by polymerase chain reaction. After detection of an additional band by single strand conformational polymorphism (SSCP) analysis, sequencing of the SSCP-shift sample revealed a single-base mutation. The mutation was a CGG transversion at codon 80 resulting in a lleRMet substitution. This substitution was confirmed by restriction fragment length polymorphism analysis since a Pvull site is abolished by the substitution. Population and family studies confirmed that the inheritance of the genotypes for apobec-1 gene polymorphism is controlled by two codominant alleles (P1 and P2). A significant difference in plasma triglyceride was detected among the different apobec-1 genotypes in the CAD patients (P<0.05). Our study could provide the basis for elucidating the interaction between genetic variation of the apobec-1 gene and disorders related to lipid metabolism.

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Identification of Pseudomonas aeruginosa Using Fatty Acid Analysis (지방산분석을 이용한 Pseudomonas aeruginosa의 동정)

  • Yook, Keun-Dol
    • Korean Journal of Clinical Laboratory Science
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    • v.37 no.3
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    • pp.164-167
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    • 2005
  • Cellular fatty acid composition of 17 strains of the Pseudomonas aeruginosa was determined by gas-liquid chromatography isolated from environmental and clinical sample in a C university hospital. Straight-chain saturated acid of C16:0 and straight-chain unsaturated acid of C18:1 with a double bond were commonly found in all the strains tested. The presence of 12:0 3OH (3-10%), 16:0 (18-28%), and 18:1w7c (17-37%) showed the characteristics of the species in the Pseudomonas. Bacterial fatty acid composition was considered to be useful for the study of interrelation and for rapid identification of the bacteria.

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Intra-Articular Injection of High-Dose ELHLD Peptide for Managing Canine Stifle Osteoarthritis: Kinetic Gait Analysis

  • Jeong, Na-rae;Kang, Byung-Jae
    • Journal of Veterinary Clinics
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    • v.38 no.3
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    • pp.105-114
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    • 2021
  • Intra-articular injection of ELHLD peptide is considered to have a therapeutic effect in osteoarthritis (OA) through the inhibition of transforming growth factor-β1. This study aimed to assess the efficacy of intra-articular injections of high-dose ELHLD peptide (100 ㎍/kg) in canine stifle OA. Six client-owned dogs diagnosed with stifle OA were included. Selected dogs were treated with an intra-articular injection of high-dose ELHLD peptide (100 ㎍/kg). Outcome measures, including orthopedic examination, gait analysis, and Canine Brief Pain Inventory (CBPI) score, were evaluated four times after injection. Orthopedic examination, gait analysis, and owner's assessment (CBPI) improved significantly from 4 weeks after injection. In conclusion, we obtained sufficient evidence from this small sample that high-dose ELHLD peptide improves clinical signs of canine OA not only through subjective assessment but also through objective evaluation.