• 제목/요약/키워드: diabetic patient

검색결과 284건 처리시간 0.024초

자기공명영상검사 시 신호강도를 높이기 위한 보상물질의 간접부착 방식에 관한 연구 (A Study on Indirect Attachment Method of Compensation Materials to Increase Signal Intensity in Magnetic Resonance Imaging)

  • 손순룡
    • 한국콘텐츠학회논문지
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    • 제17권7호
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    • pp.437-442
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    • 2017
  • 최근 자기공명신호를 형성시키지 않는 보상물질을 이용하여 신호강도를 높이려는 연구가 활발히 진행되면서 검사부위에 보상물질을 직접 부착함에 따른 환자감염의 우려가 나타나고 있다. 이에 본 연구에서는 발상의 전환으로 보상물질을 코일에 간접 부착함으로써 기존의 직접 부착방식을 대체할 수 있는지 알아보고자 하였다. 연구방법은 보상물질인 실리콘을 원통형 bar의 형태로 제작하여 8채널 head 코일의 element에 부착한 후, 실리콘 부착 전 후 water phantom의 신호강도를 측정하였다. 영상획득은 3.0T 초전도 자기공명영상장치와 8채널 head 코일을 이용하여 T1, T2강조영상을 획득하였으며, 획득한 영상은 영상측정프로그램을 이용하여 신호강도를 측정한 후, 대응표본T검정을 이용하여 유의한 차이가 있는지 판단하였다. 부착 전 후 신호강도는 T1 강조영상은 3.39%, T2 강조영상은 2.62% 유의하게 증가하였다. 결론적으로 간접 부착방식은 증가율이 낮아 모든 환자를 대상으로 대체하기에는 한계가 있을 수 있지만, filling factor의 증가로 인한 신호강도의 의미있는 상승이 있으므로 당뇨병 등 감염성 질한 우려 환자에 적용 시 유용하리라 판단된다.

제 2형 당뇨병 환자에서 효능기대증진 프로그램을 적용한 운동요법이 자기효능과 심폐기능, 당대사 및 지질대사에 미치는 영향 (The effects of exercise therapy applied in an efficacy expectation promoting program on self-efficacy, cardiopulmonary function and metabolism in type 2 diabetes mellitus patients)

  • 황애란;유지수;이현철;황수관;김춘자
    • Journal of Korean Biological Nursing Science
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    • 제2권1호
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    • pp.64-75
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    • 2000
  • This study was conducted to identify the effects of exercise therapy applied in an efficacy expectation promoting program that was based on Bandura's self efficacy model on self-efficacy, cardiopulmonary function and metabolism in type 2 diabetes mellitus patients. The study design was nonequivalent pre-test post-test control design. 34 type 2 diabetes mellitus patients who received follow-up care regularly through the diabetic out-patient clinic were randomly sampled for this study. Twenty patients were assigned to the experimental group and fourteen patients were assigned to the control group. To the experimental group, exercise therapy applied in an efficacy expectation promoting program that is composed of individualized exercise prescription for 12 weeks was provided. In case of the control group, they were instructed to continue their usual lives. Data collection period was from March 1998 to June 2000 Data were analyzed using SPSS/WINDOW 10.0 program. The results were as follows. In experimental group, The score of self efficacy has increased from 64.20 to 66.65 after exercise therapy applied in an efficacy expectation promoting program and it was statistically significant(t=2.07, p=.04). The anaerobic threshold has increased from $18.20\;m{\ell}$/kg/min to $19.07\;m{\ell}$/kg/min and it was statistically significant(t=2.05, p=.04). Level of fasting blood sugar has decreased from $188.20\;mg/d{\ell}$ to $155.55\;mg/d{\ell}$ after exercise therapy applied in an efficacy expectation promoting program and it was statistically significant.(t=-2.69, p=.01). For the lipid metabolism, percent body fat has decreased from 27.16% to 26.57% after exercise therapy applied in an efficacy expectation promoting program. In conclusion, the exercise therapy applied in an efficacy expectation promoting program showed positive effect of self-efficacy, cardiopulmonary function and glucose and lipid metabolism.

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고농도의 포도당이 치은섬유아세포 및 치주인대세포의 Prostaglandin $E_2$ 생성에 미치는 영향 (Effect of high glucose on the prostaglandin $E_2$ production in human gingival fibroblasts and periodontal ligament cells)

  • 정종혁;권영혁;이만섭;박준봉;허익;김성진
    • Journal of Periodontal and Implant Science
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    • 제27권4호
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    • pp.909-922
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    • 1997
  • The purpose of this study was to evaluate the effect of high glucose on prostaglandin E2 production in human gingival fibroblasts and periodontal ligament cells in vitro. In control group, the cells($5{\times}10^4\;cells/ml$) were cultured with Dulbecco's Modified Eagle's Medium contained with 10% fetal bovine serum, 45mg/dl glucose. In experimental groups, glucose was added to the above culture condition at the final glucose concentrations of 100mg/dl(Test group 1), 200mg/dl (Test group 2) and 400mg/dl (Test group 3). Then each group was tested for the cell proliferation rate, protein levels, and prostaglandin E2 production at $\frac{1}{2}$, 1, 2, 5 days. The results were as follows : 1. As glucose concentration increased, cell proliferation rate decreased significantly at 1, 2, 5 days in human gingival fibroblasts and periodontal ligament cells(P<0.01). 2. In human gingival fibroblasts, test group 2 and 3 showed significantly decreased protein levels as compared to control group at 5 days (P<0.01). 3. In human periodontal ligament cells, as glucose concentration increased, protein levels decreased significantly at 2 days and 5 days(P<0.01). 4. Prostaglandin $E_2$ production in human gingival fibroblasts and human periodontal ligament cells significantly increased as glucose concentration increased(P<0.01). results at 5 days showed obvious difference as compared to those at 2 days. From the above results, high glucose appeared to affect cellular activities including cell proliferation rate, protein levels and enhance prostaglandin $E_2$ production. It was assumed that prostaglandin E2 production by high glucose enhances inflammatory reaction and has a toxic effect on human gingival fibroblasts and human periodontal ligament cells. This study suggests that periodontal disease in diabetic patient is related to prostaglandin $E_2$ production.

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제2형 당뇨병 환자 식생활습관 및 보건소 영양교육 후 혈당개선효과 (Older Adults with Type 2 Diabetes Improve Glycemic Control after Nutritional Education Program at the Public Health Center)

  • 김태연;엄순희
    • 대한영양사협회학술지
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    • 제10권2호
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    • pp.205-217
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    • 2004
  • This study was carried out to provide information on the effect of nutrition education program for diabetic patients at the Guri City's Public Health Center. Subjects of this study were 31 persons(male 7, female 24) who attended all courses of "2002 Diabetes Education Class". They were indicated as the 'education group'(EG). Eating and living habits of EG were investigated before the education. EG's weight and blood glucose (post prandial 2 hours, PP2) were examined as well. EG's PP2 reduction was compared with a 'control group'(CG) who didn't join any course in that class. All of the subjects were non-insulin-dependent diabetes mellitus(NIDDM) patients. EG's average age was 62.4$\pm$8.8. Before taking the course, EG's PP2 was 251.5$\pm$29.6mg/dl, and body mass index(BMI) was 26.3$\pm$2.3 on average. Most of them were stressed out from their daily lives and usually had no exercise. Most people of EG ate meals rapidly and liked sweet and fatty foods. After the course of training, EG's weight and BMI before the training were not decreased significantly. However, all of the EG's PP2s, which were measured 4 times(before the meal at the special lunch session, after 2 hours at this meal, after 2 weeks and 4 weeks dietary assembly), were decreased in comparison with the PP2 which was checked prior to joining the training. EG's average PP2 was more reduced than CG's one. In addition, all groups' PP2s were decreased for 8 weeks. After all, this nutritional education at the public health center was effective in glycemic control for diabetes mellitus patients. Especially, when the dietary assembly as practical training was included in the educational process, the patient's dietary intake and PP2 was improved more effectively. Therefore, this study suggests that nutrition work at public health centers is necessary for the Health Promotion Policy.

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기관지내 종괴로 발현된 폐모균증 1례 (A Case of Pulmonary Mucormycosis Presenting as an Endobronchial Mass)

  • 황정혜;안창혁;윤종욱;노길환;함형석;강은해;서지영;정만표;김호중;권오정;이종헌
    • Tuberculosis and Respiratory Diseases
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    • 제49권5호
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    • pp.633-638
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    • 2000
  • 기관지 모균증은 드문 질환으로 돌출된 종괴로 발현된 경우는 특히 드물다. 저자들은 당뇨환자에서 종괴형태로 발현되어 우측 주기관지를 폐색시키는 기관지 모균증을 발견하였다. 경직성 기관지술로 모군 종괴를 제거하여 임상적으로 호전시킨 후 적극적으로 전신적 Amphotereicin B 투여와 폐절제술을 동반하여 완치한 1예를 경험하여 이를 보고하는 바이다.

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효능기대증진프로그램을 적용한 운동요법이 자기효능과 대사에 미치는 영향-인슐린 비의존성 당뇨병 환자를 중심으로- (The Effects of Exercise Therapy Applied in an Efficacy Expectation Promoting Program on Self-Efficacy and Metabolism.- in NIDDM(Non-Insulin Dependent Diabetes Mellitus) Patients -)

  • 김춘자
    • 대한간호학회지
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    • 제28권1호
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    • pp.132-142
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    • 1998
  • This study was conducted to investigate whether exercise therapy applied in an efficacy expectation promoting program based on the self-efficacy theory of Bandura(1977) would increase self-efficacy and metabolism in NIDDM patients. The study design was a nonequivalent control group pre-test post-test quasi-experimental desist The exercise therapy applied in the efficacy expectation promoting program was composed of a staged exercise program, a small booklet relating personal experience with diabetes mellitus and a telephone coaching program on performance accomplishment. vicarious experience and verbal persuasion, which are all induction modes of efficacy expectation. The subjects of the study were twenty eight NIDDM patients who received follow-up care regularly through the out-patient department of endocrine medicine in one general hospital which had a diabetic clinic. Fourteen were assigned to the experimental group and fourteen to the control group. The experimental group participated in the exercise therapy applied in the efficacy expectation promoting program from three to five times per week for four weeks and the control group did not have the program. The collected data were analyzed using the X²-test, t-test, paired t-test, and Cronbach's Alpha using SPSS /PC/sup +/. The results are summarized as follows 1. Experimental group had higher efficacy score than control group(t=5.98, p=.00). And. There was a significant different in the efficacy score before exercise therapy applied in the efficacy expectation promoting program and after in experimental group(t=-6.42, p=.00). 2. Experimental group did not have lower level of glucose metabolism than control group(FBS : t=.32, p=.75, HbAlC : t=.60, p=.55, pc 2hrs. glucose : t=-.29, p=.78). But, There was a significant different in the aunt of glucose metabolism before exercise therapy applied in the efficacy expectation promoting program and after in experimental group(FBS : t=3.63, p=.003, HbAlC t=4.20, p=.00, pc 2hrs. glucose : t=1.93, p=.001). 3. Levels of lipid metabolism were partly a significant different between Experimental group and control group(triglyceride t=-1.87, p=.07, HDL cholesterol : t=-.29, p=.77. body weight : t=1.78, p=.09, Total cholesterol : t=-2.17, p=.04). And, There was partly a significant different in the amount of lipid metabolism before exercise therapy applied in the efficacy expectation promoting program and after in experimental group(triglyceride : t=2.50, p=.03, HDL cholesterol : t=-.43, p=.67, body weight : t=5.34. p=.00, Total cholesterol : t=2.26, p=.04). In conclusion, it was found that exercise therapy applied in an efficacy expectation promoting program was an effective nursing intervention for increasing self-efficacy and metabolism.

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Assessment of the Therapeutic Potential of Persimmon Leaf Extract on Prediabetic Subjects

  • Khan, Mohd M.;Tran, Bao Quoc;Jang, Yoon-Jin;Park, Soo-Hyun;Fondrie, William E.;Chowdhury, Khadiza;Yoon, Sung Hwan;Goodlett, David R.;Chae, Soo-Wan;Chae, Han-Jung;Seo, Seung-Young;Goo, Young Ah
    • Molecules and Cells
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    • 제40권7호
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    • pp.466-475
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    • 2017
  • Dietary supplements have exhibited myriads of positive health effects on human health conditions and with the advent of new technological advances, including in the fields of proteomics, genomics, and metabolomics, biological and pharmacological activities of dietary supplements are being evaluated for their ameliorative effects in human ailments. Recent interests in understanding and discovering the molecular targets of phytochemical-gene-protein-metabolite dynamics resulted in discovery of a few protein signature candidates that could potentially be used to assess the effects of dietary supplements on human health. Persimmon (Diospyros kaki) is a folk medicine, commonly used as dietary supplement in China, Japan, and South Korea, owing to its different beneficial health effects including anti-diabetic implications. However, neither mechanism of action nor molecular biomarkers have been discovered that could either validate or be used to evaluate effects of persimmon on human health. In present study, Mass Spectrometry (MS)-based proteomic studies were accomplished to discover proteomic molecular signatures that could be used to understand therapeutic potentials of persimmon leaf extract (PLE) in diabetes amelioration. Saliva, serum, and urine samples were analyzed and we propose that salivary proteins can be used for evaluating treatment effectiveness and in improving patient compliance. The present discovery proteomics study demonstrates that salivary proteomic profile changes were found as a result of PLE treatment in prediabetic subjects that could specifically be used as potential protein signature candidates.

급성 충수돌기염 환자에서 의료보장형태와 천공률의 관련성 (The Relation between Type of Insurance and Acute Appendicitis Rupture Rate)

  • 홍지영;김건엽;이무식;남해성;임정수;이정애;나백주
    • Journal of Preventive Medicine and Public Health
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    • 제37권3호
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    • pp.267-273
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    • 2004
  • Objectives : This study was aimed at investigating the medical service utilization pattern of patients who use public medical aid compared to those who have health insurance. Methods : We selected every patient between the age of 18 and 69 who used public medical aid from January 1, 1999, to December 31, 2001, in Gwangju metropolitan city, South Korea. For comparison, a list of patients with health insurance was gathered for same period. Then the medical records of those who had been hospitalized for acute appendicitis were selected among both groups. Of those records, we compared the number of cases of ruptured appendicitis to cases of whole acute appendicitis in both groups. Regarding coding for ruptured appendicitis, International Classification of Diseases - 10 (ICD-10) was used. Multiple logistic regression was used as a statistical tool to determine the effectiveness of risk factors. Results : Even after adjusting for risk factors, such as age and sex, the proportion of perforation of acute appendicitis among public medical aid patients was found to be significantly higher than among insured patients. Conclusions : This comparative study on ruptured appendicitis among public medical aid patients and insured patients, indicates that the proportion of perforation of acute appendicitis could be an index showing that these types of patients utilize medical services differently than insured patients. We know that when abdominal pain is not properly treated at the outset, it easily develops into ruptured appendicitis complicated with peritonitis. Considering this data analysis, we guess the public medical aid system to have significant problem with medical accessibility. So additional and systematic research on the pattern of utilization of medical services of public medical aid patients is needed.

EID3 Promotes Glioma Cell Proliferation and Survival by Inactivating AMPKα1

  • Xiang, Yaoxian;Zhu, Lei;He, Zijian;Xu, Lei;Mao, Yuhang;Jiang, Junjian;Xu, Jianguang
    • Journal of Korean Neurosurgical Society
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    • 제65권6호
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    • pp.790-800
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    • 2022
  • Objective : EID3 (EP300-interacting inhibitor of differentiation) was identified as a novel member of EID family and plays a pivotal role in colorectal cancer development. However, its role in glioma remained elusive. In current study, we identified EID3 as a novel oncogenic molecule in human glioma and is critical for glioma cell survival, proliferation and invasion. Methods : A total of five patients with glioma were recruited in present study and fresh glioma samples were removed from patients. Four weeks old male non-obese diabetic severe combined immune deficiency (NOD/SCID) mice were used as transplant recipient models. The subcutaneous tumor size was calculated and recorded every week with vernier caliper. EID3 and AMP-activated protein kinase α1 (AMPKα1) expression levels were confirmed by real-time polymerase chain reaction and Western blot assays. Colony formation assays were performed to evaluate cell proliferation. Methyl thiazolyl tetrazolium (MTT) assays were performed for cell viability assessment. Trypan blue staining approach was applied for cell death assessment. Cell Apoptosis DNA ELISA Detection Kit was used for apoptosis assessment. Results : EID3 was preferentially expressed in glioma tissues/cells, while undetectable in astrocytes, neuronal cells, or normal brain tissues. EID3 knocking down significantly hindered glioma cell proliferation and invasion, as well as induced reduction of cell viability, apoptosis and cell death. EID3 knocking down also greatly inhibited tumor growth in SCID mice. Knocking down of AMPKα1 could effectively rescue glioma cells from apoptosis and cell death caused by EID3 absence, indicating that AMPKα1 acted as a key downstream regulator of EID3 and mediated suppression effects caused by EID3 knocking down inhibition. These findings were confirmed in glioma cells generated patient-derived xenograft models. AMPKα1 protein levels were affected by MG132 treatment in glioma, which suggested EID3 might down regulate AMPKα1 through protein degradation. Conclusion : Collectively, our study demonstrated that EID3 promoted glioma cell proliferation and survival by inhibiting AMPKα1 expression. Targeting EID3 might represent a promising strategy for treating glioma.

유해 화학물질 처리에 의한 녹농균과 포도상구균의 성장저해최소농도 측정 (Measurement of Minimum Inhibitory Concentration of Toxic Chemicals against Pseudomonas aeruginosa and Staphylococcus aureus)

  • 안지선;김진경;김재성;이창수
    • 청정기술
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    • 제29권2호
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    • pp.135-144
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    • 2023
  • Pseudomonas aeruginosa와 Staphylococcus aureus는 만성 창상 감염의 원인이 되는 주요 병원체이며 상처부위에서 공존한다. 이러한 감염은 단일 감염에 비해 독성이 높아 환자에게 바람직하지 않은 결과를 초래한다. 복합미생물 감염내에서 미생물 간의 상호작용은 질병 진행을 악화시키는 것으로 알려져 있다. 호흡기, 상처, 당뇨병 발과 같은 질병 내 복합 미생물 감염은 다양한 미생물들을 포함하나, 녹농균과 황색포도상구균이 가장 일반적으로 확인된다. 본 연구는 그람음성균 P. aeruginosa와 그람양성균 S. aureus를 중심으로 독성화학물질의 농도구배에 따른 성장양상을 비교하고자 하였다. 세균 성장이 억제되는 농도를 의미하는 최소 억제 농도(MIC)는 특정화학물을 함유한 배지를 연속적으로 희석하여 성장 곡선을 평가하여 결정한다. 두 균주 모두 상기 방법을 통해 성장곡선을 확인하였고, 지수성장기를 적용하여 세균의 배가시간을 계산하였다. 각 독성 물질에 대한 MIC 결과로부터 그람양성균과 그람음성균 사이의 성장 속도 차이와 각 독성 물질에 대한 내성 차이를 식별하였다. 우리는 이 접근 방식이 세균 관련 감염의 혁신적인 치료법 개발에 대한 강력한 잠재력을 가지고 있다고 기대한다.