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검색결과 1,756건 처리시간 0.028초

한의학적 복합치료에 의해 호전된 척추수술실패증후군(Failed Back Surgery Syndrome)환자 10례: 후향적 증례연구 (Korean Medicinal Combination Treatments for Failed Back Surgery Syndrome: A Retrospective Case Series)

  • 서영우;박한솔;김민철;김세영;서영훈;이상민;김유종;홍제락;김지수;김기옥;김태훈
    • Journal of Acupuncture Research
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    • 제32권2호
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    • pp.217-227
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    • 2015
  • Objectives : This study is an evaluation of the effectiveness of treatments combined with Korean medical methods, such as relaxative Chuna and Gangchuk herbal medicines, for patients with failed back surgery syndrome. Methods : In this study, medical records of ten patients who experienced failed back surgery syndrome and participated in intensive Korean medical treatment were reviewed. All patients received relaxative Chuna and acupuncture along with Gangchuk herbal medicines during hospitalization. Numeric rating scale(NRS) in the degree of 0 to 10, pain-free walking distance(PFWD) and oswestry disability index(ODI) were measured before and after treatments. Results : The patients were hospitalized for an average of 22 days. The average NRS of lumbar pain in all patients decreased from $7.7{\pm}1.6$ to $3.2{\pm}2.2$ and the average NRS decline of leg pain was from $7.7{\pm}1.7$ to $3.2{\pm}2.2$, both of which indicate statistical significance(p < 0.05). PFWD in all patients increased from 113.3 m to 798.1 m on average. The average ODI in all patients significantly improved from $63.9{\pm}7.0$ to $43.9{\pm}6.9$(p < 0.05). Conclusions : The treatments combined with Korean medical methods for failed back surgery syndrome patients are clinically effective and viable.

미세전류자극 강도가 흰쥐의 골관절염 회복에 미치는 영향 (The Effect of Microcurrent Stimulation Intensity on Osteoarthritis in Rat)

  • 진희경;박장성;김종만
    • 한국전문물리치료학회지
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    • 제18권1호
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    • pp.83-92
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    • 2011
  • Osteoarthritis is a degenerative joint disease and is led to physical disability. Yet the development of effective disease-modifying treatments has lagged. In this study, I examined the effect of physical therapeutic intervention through microcurrent stimulation and attempt to find which degree of intensity, either 25 ${\mu}A$ or 500 ${\mu}A$ with a regular 5 pps pulse, is more effective in the osteoarthritis. Osteoarthritis was induced with a mixture of 2% carrageenan and 2% kaolin in 26 male Sprague-Dawley rats. The mixture (0.1 $m{\ell}$) was injected into the intra-articular capsule of knee joint once a week for three weeks. Five animals did not show degenerative changes by radiological findings and excluded in the following experiment. Osteoarthritic animals were randomly divided into 3 groups ($n_1$, $n_2$, $n_3$=7/each): untreated, treated with 25 ${\mu}A$, treated with 500 ${\mu}A$. All experimental groups received microcurrent stimulation for four weeks (15 min/day, 5 days/week). The ethological inspection of foot print analysis on the walking corridor was accomplished every week. Histological preparations and immunohistochemical staining with insulin-like growth factor-1 were also done in the articular cartilages. All of these parameters were compared with those of osteoarthritic control group (n=7). The ethological inspection of foot print analysis revealed that changes of walking track (paw width) and stride length was significantly increased in both experimental groups. The better results were observed in experimental group treated with 25 ${\mu}A$ intensity without significance than group treated with 500 ${\mu}A$. Histological preparations disclosed that routine hyaline cartilage of articular surface were altered to fibrous cartilage in untreated group and experimental group treated with 500 ${\mu}A$ intensity. But a little changes were seen in experimental group treated with 25 ${\mu}A$ intensity. Immunolocalization of insulin-like growth factor-1 was simultaneously decreased according to the duration of osteoarthritis, and did not show significant difference among the groups. In this study discovered that the microcurrent stimulation, especially 25 ${\mu}A$ intensity, had a positive effect by the ethological inspection, histological and immunohistochemical stainings. These results suggest that microcurrent stimulation with low-intensity might be effective in the promotion of healing process for the osteoarthritis.

신생아의 통증완화를 위한 자당(sucrose) 경구투여 효과 (Pain Relieving Effect of Intraoral Sucrose Replacement in Neonates)

  • 윤혜봉
    • Child Health Nursing Research
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    • 제7권1호
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    • pp.35-50
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    • 2001
  • The ability of neonates to perceive and react to pain, has been acknowledged recently. Recent researches have been shown that even short term pain can have lasting negative effects. We know that most of the anatomical pathway and neurotrans-mitter function necessary for pain perception are fully or nearly fully developed in the neonatal period. Many people are still reluctant to believe that pain felt by neonates may be as severe as that felt by older children or adults yet. The objective of the study is to assess and compare the analgesic effects of orally administered sucrose and pacifiers. And to determine the synergistic analgesic effects of sucrose and pacifiers. The tools for this study is Lawrence's NIPS (neonatal infant pain scale) with behavioural pain responses and index for pain physiological reponses as heart rate, respiratory rate and degree of SaO₂. The participants are 96 healthy infants of neonatal age 1-7days and randomised to receive heel prick before 2minutes to blood sampling and physiological test in Nursery of K Medical University Hospital on May-July, 2000. The experimental group assigned to one of three treatment groups : no treatment; a pacifier; placebo(2ml 25% sucrose). Collected data were analyzed with the SAS program using X²-test, ANOVA and Duncan's multiple range test as post hoc. The results were as follows. 1) Pain behaviour responses: The pain score of placebo group(2ml 25% sucrose) is lower than no treatment group and pacifier group significantly(P=.000). Placebo group is different from no treatment and pacifier group with Duncan's multiple range test. 2) Pain physiologic responses (1) heart rate: The heart rate of placebo group(2ml 25% sucrose) is different from that of no treatment group and pacifier group significantly(P=.000). The heart rate change of placebo group is less than the other groups. (2) respiratory rate: The respiratory rate of placebo group(2ml 25% sucrose) is different from that of no treatment group and pacifier group insignificantly (P=.2340). But, the respiratory rate of placebo group is lower than the other groups. (3) SaO₂: The SaO₂ score of placebo group(2ml 25% sucrose) is different from that of no treatment group and pacifier group insignificantly (P=.3265). But, the change of SaO₂ score of placebo group is less than the other groups. In conclusion, the sucrose placebo showed pain relief effect in behavior responses and less physiological responses. Accordingly, the sucrose placebo should be applied nursing intervention for simple pain management as heel prick.

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Pilot Scale의 박테리아 셀룰로오스 생산 및 그의 물성 (Production of Bacterial Cellulose by Pilot Scale and Its Properties)

  • 김성준;송효정;장미화;최창남
    • KSBB Journal
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    • 제22권2호
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    • pp.91-96
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    • 2007
  • 본 연구에서는 음식폐기물 효소당화액을 BC생산 배지원으로 이용하여, flask정치배양과 50 L로 규모확대한 공기순환배양기에서 BC생산성을 검토하고, 생산된 BC의 제반물성을 조사하였다. 전단력을 낮추기 위해 당화액배지에 agar를 첨가하여 10 L, 50 L 공기순환배양기에서 배양한 결과, 50 L 규모로 scale-up한 반응기에서 5.64 g/L로 10 L 공기순환배양기 (5.84 g/L)에서와 동등한 BC 농도가 얻어져 BC 대량생산에 효과적인 배양방법임이 입증되었다. 50 L 규모로 확대된 공기순환배양기를 이용하는 본 배양 방법은 BC의 저비용 대량생산을 위한 효율적인 생산 방법 중 하나가 되리라 사료된다. 또한, 당화액을 배지로 하여 공기순환 방법으로 제조한 BC의 물성을 정치배양 방법으로 제조한 BC의 물성과 비교 검토한 결과, 공기순환법으로 제조하였을 때 중합도 및 역학적 성질이 약간 저하하였으나 결정성은 비슷하였으며, 배양기 용량의 대소에 따른 물성의 변화는 거의 없었다.

다이어트 와인 동아주 제조에 관한 연구 (Studies on Wax Gourd Wine)

  • 이석건
    • 농업과학연구
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    • 제27권2호
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    • pp.117-124
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    • 2000
  • 설탕 15%를 탄소원으로 동아함량을 15%, 20%, 25%로 다르게 하여 $5{\sim}10^{\circ}C$에서 100일간 효모로 발효시켰다. 제품의 총당함량은 동아함량 15%짜리는 7.3%, 20%짜리는 5.0%, 25%짜리는 4.0%를 나타냈고, 환원당 함량은 15%짜리는 4.5%, 20%짜리 는 3.4%, 25%짜리는 4.0%를 나타냈다. 단백질 함량은 동아함량 15%짜리는 10.1 mg/ml, 20%짜리는 13.9 mg/ml, 25%짜리는 10.9 mg/ml를 나타냈고 아미노산 함량은 15%짜리는 $0.27{\mu}mol/ml$, 20%짜리는 $0.51{\mu}mol/ml$, 25%짜리는 $0.31{\mu}mol/ml$을 나타냈다. pH는 15%짜리는 3.85, 20%짜리는 3.76, 25%짜리는 3.51을 나타냈고, 산도는 동아함량 15%짜리는 0.34%, 20%짜리는 0.84%, 25%짜리는 1.35%를 나타냈다. 균체수는 동아함량 15% 짜리 는 6.30 logCFU/ml, 20%짜리는 6.85 logCFu/ml, 25%짜리는 8.45 logCFU/ml를 나타냈다. 에 탄올 함량은 동아함량 15%짜리는 11.4%, 20%짜리는 12.4%, 25%짜리는 11.5%를 나타냈다. 숙신산 함량은 동아함량에 따라 1,128~1,385 mg/l 범위를 나타냈으며, 아세트산은 동아함량 20%짜리는 2,806 mg/l, 25%짜리는 4,952 mg/l 를 나타내 산패되었다. 기호도는 동아함량 15짜리는 3.26, 20%짜리는 3.00, 25%짜리는 2.46의 순을 나타냈다.

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애기뿔소똥구리(Copris tripartitus Waterhouse)의 발육에 미치는 온도의 영향 (Effect of Temperature on the Development of Copris tripartitus Waterhouse (Coleoptera: Scarabaeidae))

  • 방혜선;나영은;김명현;노기안;이정택
    • 한국응용곤충학회지
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    • 제46권3호
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    • pp.357-362
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    • 2007
  • 토양의 비옥도를 높여주는 분식성 곤충으로써 우리나라에 서식하고 있는 애기뿔소똥구리(Copris tripartitus)의 발육생태를 각 온도에서 관찰하였다. 대량증식 및 환경변화 모델 적용을 위해 15, 17.5, 20, 25, 27.5 및 $30^{\circ}C$(16L:8D)에서 발육실험을 한 결과 알에서 우화까지의 발육기간은 $17.5^{\circ}C$에서 118.0일이고, $27.5^{\circ}C$에서는 49.3일이었다. 온도가 높을수록 짧은 발육기간을 보였으며, 알, 유충, 용, 알에서 우화까지의 발육영점온도와 유효적산온도는 각각 12.1, 11.2, 12.1, $9.2^{\circ}C$, 그리고 82.7, 462.0, 225.7, 947.2일도이었다. 난 및 유충의 발육단계에서 사망률은 $25^{\circ}C$에서 가장 낮게 나타나 애기뿔소똥구리의 성장에 적합한 온도는 $25^{\circ}C$이었다.

국내 오픈소스 공간정보 소프트웨어 생태계 분석 (An Analysis of Open Source GIS Software Ecosystem in Korea)

  • 강영옥;강애띠;권회윤
    • Spatial Information Research
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    • 제22권6호
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    • pp.67-79
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    • 2014
  • 최근 전 세계적으로 많은 국가에서 오픈소스 소프트웨어의 도입 및 활용이 크게 늘고 있다. 특히 오픈소스 소프트웨어의 활성화를 위해 정부와 민간 기업이 적극적으로 나서고 있는 추세이다. 본 논문에서는 오픈소스 공간정보 소프트웨어 생태계 활성화정도를 확인하고, 생태계 활성화를 위한 시사점을 도출해 보고자 하였다. 오픈소스 공간정보 소프트웨어 생태계의 주요 역할자는 정부, 기업, 학계 및 연구계, 비영리재단 등이다. 정부는 오픈소스 공간정보 소프트웨어에 대한 R&D 투자나 지원에 대한 정책을 갖고 있지 않은 것으로 나타났다. 오픈소스 공간정보 소프트웨어 관련기업은 그 숫적인 측면에서도 작을 뿐만 아니라 수익을 창출하는 명확한 비즈니스 모델을 갖고 있지 않았다. 학계 및 연구계는 오픈소스 공간정보 소프트웨어의 활용이 매우 낮으며, 이는 생태계 내에 핵심인력을 제공하는데 부정적 영향을 미치는 것으로 판단되었다. 비영리재단은 2009년 설립된 OSGeo 한국어지부가 다양한 노력을 기울이고 있지만 질적인 측면에서나 활성화 측면에서는 아직 미약한 수준이다. 오픈소스 공간정보 소프트웨어 생태계의 활성화를 위해서는 참여하는 각 주체별 노력이 필요하다. 그 가운데에서도 정부는 이 생태계의 활성화에 가장 큰 시발점을 제공할 수 있을 것으로 판단된다. 정부에서 추진되어야 할 과제와 관련하여 첫째, 오픈소스 공간정보 소프트웨어에 대한 R&D투자 둘째, 공공부문에 오픈소스 공간정보 소프트웨어를 활용한 시범구축사업, 셋째, 관련 인력양성, 넷째, 오픈소스 공간정보 소프트웨어와 관련된 국제협력, 홍보마케팅과 관련된 노력 등이 지속적으로 필요한 것으로 판단된다.

과채즙 식이를 포함한 혈중지질개선 프로그램의 참여도에 따른 효과 (Effects of a Juice Diet Including a Lipid Improvement Program and Program Attendance on the Korean Serum Lipid Profile)

  • 유경이;윤미은;이경순;김신섭;임종은;천성수
    • 한국지역사회생활과학회지
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    • 제26권2호
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    • pp.261-274
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    • 2015
  • Although fasting programs have recently attracted close attention because of benefits of detoxification, few studies have examined these programs. This study investigates the effects of a modified juice-based fasting program on lipid metabolism. A total of 33 volunteers fasted for 10 days and participated in program lectures, exercise programs, water bath regimens, and enemas. Pre- and post-program blood samples were obtained to evaluate lipoprotein levels. A paired t-test was conducted using SPSS 18.0. Changes in the lipid profile were observed during the juice-based fasting program and attending 3 degrees. All lipid profiles decreased significantly, including total cholesterol (TC) (p<0.001), triglycerides (TG), high-density lipoprotein cholesterol (HDL-C), and low-density lipoprotein cholesterol (LDL-C) (p<0.05). Program participation was documented by assessing attendance levels as high, moderate, and low. TC decreased significantly in all programs and levels (p<0.05), TG decreased proportionally only in enemas according to the attending degree: high (48 %), moderate (20 %), and low (10 %). HDL-C decreased at all low levels, but moderate exercise ($53.8{\pm}12.5mg/dL$ to $55.6{\pm}10.2mg/dL$) and a high enema ($54.9{\pm}14.1mg/dL$ to $55.0{\pm}9.4mg/dL$) showed small increases. The antioxidant property of the juice-based fasting program in terms of the blood vessel, enemas, and exercise played an important role in preventing cardiovascular disease from increased levels of HDL-C. These results suggest that juice-based fasting and combined lifestyle programs may help improve lipid metabolism and protect against dyslipidemia.

만성관절염 환자의 삶의 만족도에 관한 연구 (A Study of Life Satisfaction by Chronic Arthritis Patient)

  • 김원숙
    • 근관절건강학회지
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    • 제4권1호
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    • pp.87-97
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    • 1997
  • This study is descriptive research clarifying the relations between physical inconvenience, social aptitude and sense of satisfaction In life of the chronic arthritis patients. This research has been conducted from 115 patients by structured self-reporting questionnaires and direct interview of the adult patients over the age of 16 years old who had been under treatment in 3 University hospitals in Seoul from Oct. 4, 1996 through Oct. 24, 1996 for 20 days. The collected materials have been under t-test and F-test(ANOVA) per variables after computerizing using SPSS package and the correlation between various causes was conducted by pearson's correlation coefficient method. The results are as the follows : 1) Generally the age of starling the disease was 40-60 with 91 in female(79.0%) and male 88(76.5%), the persons who had the religion showed the high rate of being taken ill and the persons with over high school education have fallen ill by 46.1%. The monthly income has shown that 77.5% was over 1,000,000won or over, the periods of the disease in average was 4 years 3 months showing it was the chronic disease, the degree of recognizing the disease was 19.0%, spouse and children were most concerned about their disease and the part of Joint attacked was knee(73.0%), wrist(43.5%) and others which showed that they have been very inconvenient in daily life. 2) The variables affecting to physical inconvenience were by age (F=9.06, p=.000), education level(F=7.14, p=000), economic standards (F=2.18, p=.05), the period of disease(F=3.09, p=.03), hospitalized or not(F=3.23, p=.002), showing such correlations. 3) The variables affecting to the social adaptation were by age (F=3.47, p=.018), education level(F=4.98, p=.001), periods of taken ill (F=419, p:.007), hospitalized or not (F=3.23, p=.004) and the operation or not (F=1.30, p=.028) showing such correlations. 4) The variables affecting to life satisfaction were by sex(t=2.08, p=.045), economic status(F=3.15, p=.01) being able to explain statistically. Through the above correlations, they are required to receive self-management education positively to elevate the effect of rehabilitation treatment and effective nursing arbitration and also they required to be reduced physical inconvenience at the early stage and be helped to be able to lead the quality life in satisfaction by elevating the diverse adaptation to the society by correcting the transformed joint.

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급성 아킬레스건 파열 - Krackow 봉합술 후 등속성 족저 굴곡력의 분석 - (Acute Achilles Tendon Rupture : - Isokinetic plantarflexion torque evaluation after Krackow suture technique -)

  • 정홍근;유석주;이성철;박희곤;김기영;김명호
    • 대한족부족관절학회지
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    • 제6권2호
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    • pp.181-189
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    • 2002
  • Purpose: We try to evaluate the functional outcomes of the ankle with isokinetic plantaflexion torque for acute achilles tendon rupture cases those treated by primary repair with the Krackow suture technique and early rehabilization. Materials and Method: The authors studied retrospectively, 15 patients of acute achilles tendon rupture treated and followed over six months, from July 1997 to May 2001. There were 12 men and 3 women, and mean age was 39.6year. The repair method of ruptured tendon was single or double Krackow suture technique. One week(5days-2weeks) after operation, early ROM with ankle-foot orthosis was started. We used Arner-Lindholm Scale for the clinical evaluation and analyzed patient's satisfaction and subjective strength deficit. We analyzed the dorsiflexion peak torque and plantarflexion peak torque of the ankle statistically with strength test with Cybex dynamometer. Result: In clinical results, we had 11 excellent cases(73%) and 3 good cases(20%). In patients satisfaction degree, 11 excellent cases(66.6%), 3 good cases(20%) and 2 fair cases(13.4%). And in strength deficit, 3 none deficit (20%), 9 minimal deficit(60%). We evaluated the isokinetic plantar flexion torque in 3months or 6months after operation. After 3 months, isokinetic test showed the mean functional deficits, 32% and 25% at $30^{\circ}$ and $120^{\circ}/sec$, in 7 cases(46.6%) of 15 cases respectively. After 6 months, the mean deficits were in 21%, 24% at 30. and $120^{\circ}/sec$, respectively. At 3 and 6 months' follow up, absolute value of isokinetic test showed increase of 25. 31bs to 421bs and 19.61bs to 271bs at $30^{\circ}$ and $120^{\circ}/sec$, respectively. Conclusion: We had good result for acute achilles tendon rupture treated by Krakow suture technique and early range of motion exercise of the ankle. After 6 months, strength deficit was 21% in all of cases but were able to return pre-injured state. This study shows Krakow suture technique was recommended method for primary repair and early rehabilization of achilles tendon ruptue.

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