• 제목/요약/키워드: disease intensity

검색결과 483건 처리시간 0.024초

Complex regional pain syndrome in the young male population: a retrospective study of 200 Korean young male patients

  • Lee, Ho-Jin;Lee, Chang-Soon;Yoo, Yongjae;Noh, Jae Mun;Yu, Je Hyuk;Kim, Yong-Chul;Moon, Jee Youn
    • The Korean Journal of Pain
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    • 제32권4호
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    • pp.292-300
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    • 2019
  • Background: The aim of this study was to investigate the clinical characteristics of complex regional pain syndrome (CRPS) in young male patients in South Korea, especially focusing on the association with military service. Methods: From January 2007 to May 2017, we investigated the electronic medical records of 430 consecutive patients, aged 18 to 30 years, who visited Seoul National University Hospital Pain Center, with a suspected diagnosis of CRPS at the initial visit. The following patient details were available for analysis: demographic and disease-related variables, relevance to military service, medications, and the treatment modalities received. Results: Out of 430 patients, 245 (57.0%) were diagnosed with CRPS, of which, 200 were male patients and 45 were female patients. Of the male patients, 95 (47.5%) developed CRPS during military service. CRPS during military service was more likely to result from sprain/strain, and the incidence of CRPS was significantly higher in the lower extremities in patients from the military service group than in those from the non-military service group. During the follow-up period, 37.9% of male CRPS patients (n = 61/161) were treated successfully. Patients with moderate to severe initial pain intensity, and diagnosed during their military service, showed better outcomes. Conclusions: Our results demonstrated that manifestation of CRPS in the young Korean population was more common in male and among those male CRPS patients, about half the cases developed during the military service period.

Nattokinase Crude Extract Inhibits Hepatocellular Carcinoma Growth in Mice

  • Yan, Yongmin;Wang, Yanjing;Qian, Jiali;Wu, Sihui;Ji, Yi;Liu, Yanxiao;Zeng, Jian;Gong, Aihua
    • Journal of Microbiology and Biotechnology
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    • 제29권8호
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    • pp.1281-1287
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    • 2019
  • Nattokinase (NK, E.C. 3.4.21.62) is a serine protease produced by Bacillus subtilis natto that shows promise for the treatment of thrombotic disease. In this study, we assessed the effects of NK on the development of hepatocellular carcinoma (HCC), a principal malignancy of the liver that causes morbidity and mortality worldwide. Crude extracts of NK (NCE) were isolated from fermentation medium by centrifugation and separated into three fractions (<10 K, 100~30 K and >30K). Orthotopic HCC mouse models were established and NCE was administered by oral gavage. H&E staining was performed to examine the pathology of HCC livers. Immunohistochemistry and immunofluorescence were used to evaluate FOXM1, CD31, CD44 and vimentin expression in the liver. Compared to PBS groups, NCE increased the survival rates of HCC-bearing mice to 31% and decreased ascites. Low-intensity ultrasound imaging showed that the hypoechoic mass area was lower in NCE-treated mice and that tumor growth significantly decreased. IHC staining showed that the expression of FOXM1 was inhibited by NCE treatment. Immunofluorescence results revealed lower levels of CD31, CD44 and vimentin in the NCE groups. Taken together, these data demonstrate that NCE from Bacillus subtilis natto improves survival and inhibits tumor growth in HCC mice.

Current Radiopharmaceuticals for Positron Emission Tomography of Brain Tumors

  • Jung, Ji-hoon;Ahn, Byeong-Cheol
    • Brain Tumor Research and Treatment
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    • 제6권2호
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    • pp.47-53
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    • 2018
  • Brain tumors represent a diverse spectrum of histology, biology, prognosis, and treatment options. Although MRI remains the gold standard for morphological tumor characterization, positron emission tomography (PET) can play a critical role in evaluating disease status. This article focuses on the use of PET with radiolabeled glucose and amino acid analogs to aid in the diagnosis of tumors and differentiate between recurrent tumors and radiation necrosis. The most widely used tracer is $^{18}F$-fluorodeoxyglucose (FDG). Although the intensity of FDG uptake is clearly associated with tumor grade, the exact role of FDG PET imaging remains debatable. Additionally, high uptake of FDG in normal grey matter limits its use in some low-grade tumors that may not be visualized. Because of their potential to overcome the limitation of FDG PET of brain tumors, $^{11}C$-methionine and $^{18}F$-3,4-dihydroxyphenylalanine (FDOPA) have been proposed. Low accumulation of amino acid tracers in normal brains allows the detection of low-grade gliomas and facilitates more precise tumor delineation. These amino acid tracers have higher sensitivity and specificity for detecting brain tumors and differentiating recurrent tumors from post-therapeutic changes. FDG and amino acid tracers may be complementary, and both may be required for assessment of an individual patient. Additional tracers for brain tumor imaging are currently under development. Combinations of different tracers might provide more in-depth information about tumor characteristics, and current limitations may thus be overcome in the near future. PET with various tracers including FDG, $^{11}C$-methionine, and FDOPA has improved the management of patients with brain tumors. To evaluate the exact value of PET, however, additional prospective large sample studies are needed.

운동 형태에 따른 노인 여성들의 건강관련 체력의 변화 (The changes of health-related fitness for the elderly women depend on the types of exercise)

  • 윤병곤;박찬호
    • 한국응용과학기술학회지
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    • 제37권6호
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    • pp.1728-1737
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    • 2020
  • 본 연구는 운동 형태에 따른 여성 노인들의 건강관련체력 변화를 규명하여 만성질환을 관리하고 상해를 예방하는데 도움을 주는 운동을 선택하는데 자료를 제공하는데 있다, B 광역시에 거주하는 72-78세의 노인여성을 통제그룹 10명, 유산소 운동그룹 10명, 저항 운동그룹 10명, 복합 운동그룹 10명으로 분류하여 8주간 주 3회, 50분/회 운동을 실시하였다. 운동 강도는 모든 운동그룹에 동일하게 RPE 11-13으로 설정하였다. 하지근력, 동적평형성, 정적평형성, 그리고 민첩성은 모든 운동 그룹에서 운동 후 유의하게 향상된 결과를 보였으나, 심폐지구력은 유산소 운동 그룹과 복합운동그룹에서만 운동 후 향상된 결과가 나타났다. 결론적으로 여성 노인들에게 운동 강도가 같다면 어떠한 운동 형태든지 일상생활과 관련된 체력의 향상에 도움을 줄 수 있는 것으로 확인되었으며, 복합 운동이 노인들에게 보다 적합한 운동 형태라 할 수 있을 것이다.

Infection status and microhabitat of polyopisthocotylean Monogenea found on the gills of goldlined seabream, Rhabdosargus sarba, from Musairah Island, Oman

  • Al Sawafi, Maryam;Cho, Miyoung;Al Sulaimani, Adil;Yoon, Gilha
    • 한국어병학회지
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    • 제34권1호
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    • pp.55-61
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    • 2021
  • One of the major problems in fish production is that parasite-induced episodes of disease can result in significant impacts to the health of stock, mortalities and, economical losses. Seabreams are economically important fish in both the capture fishery and aquaculture sectors in Oman and represent potential species for aquaculture. The current study set out to investigate infection of polyopisthocotylean monogeneans on the gills of wild goldlined seabream, Rhabdosargus sarba, caught from Musairah region in Oman. The prevalence, mean intensity and abundance of polyopisthocotyleans on 145 fish was found to be 52.41%, 5.65 and 3.04, respectively. Three species of microcotylid parasite were isolated, one being Atrispinum acarne while the remaining two species require further study to identify them. There was no significant difference in the infection rate between host sex, however, parasite burdens were higher on larger sized fish (p<0.05) and were found to favour the first gill arch (p< 0.05). The study found that the sample of Rhabdosargus sarba landed in the waters around Musairah are heavily infected, with a predominantly immature population of microcotylids. Further work is required to better understand the potential risk each species poses to the health of its host before a decision is made on the suitability of new candidate fish species for commercial aquaculture.

Comparison of health behaviors of adult women in Korea before and during the COVID-19 pandemic: secondary analysis of the Korea National Health and Nutrition Examination Survey 2019-2020

  • Kim, Mijong;Chae, Hyunju
    • 여성건강간호학회지
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    • 제28권3호
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    • pp.222-234
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    • 2022
  • Purpose: This study investigated the changes in the health-related behaviors of adult women in Korea during the coronavirus disease 2019 (COVID-19) pandemic. Methods: Data from the eighth Korea National Health and Nutrition Examination Survey (2019-2020) were analyzed. The participants were 4,848 women aged 19 to 64 years in 2019 and 2020. Data analysis using the complex sampling design was performed using SPSS 20.1. Results: Positive changes during the pandemic compared to before the pandemic in Korean adult women were found for improved subjective oral health perceptions (odds ratio [OR], 1.77; p<.001), increased moderate-intensity exercise in work and leisure activities (OR, 1.75; p<.001 and OR; 1.29, p=.004), and a decrease in secondhand smoke exposure at the workplace and in public places (OR, 0.64; p=.004 and OR, 0.60; p<.001). However, the following negative health behavior changes were found: decreased frequency of walking 5 days a week (OR, 0.81; p=.011) and an increase in unhealthy daytime sleep durations (OR, 1.40; p=006). Conclusion: Compared to before the COVID-19 pandemic, Korean adult women perceived their subjective dental health more positively during the COVID-19 pandemic, decreased their exposure to secondhand smoke at work and in public places, decreased walking, and increased sleep duration during the week. Since this study only compared data between 1 year before and after the start of the pandemic, it is necessary to investigate a longer period of time in the future. A future study should attempt to identify the factors related to changes in health behaviors caused by the pandemic.

두경부암 환자에서 근치적 방사선치료 후 12주 시행한 양전자방출촬영의 임상적 중요성에 대한 연구 (Clinical Significance of FDG PET-CT Scan at 12 Weeks after Curative Radiation Therapy in Patients with Head and Neck Cancer)

  • 김영일;김준상;권진이;김섭;서영덕;구본석;장재원;조문준
    • 대한두경부종양학회지
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    • 제37권1호
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    • pp.17-22
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    • 2021
  • Background/Objectives: To evaluate clinical significance of FDG PET-CT for detection of residual cancer cells after curative radiation therapy or chemoradiotherapy for patients with squamous cell carcinoma (SCC) of Head and Neck Materials & Methods: A retrospective analysis of patients with SCC of Head and neck with curative radiotherapy or chemoradiotherpy between June 2011 and Jan. 2019 was performed. Sixty patients were treated with Intensity-modulated radiotherapy (IMRT). The Metabolic responses were evaluated on the post-treatment FDG PET-CT at 12 weeks after curative radiotherapy completion. Results: Median follow up was 51.5 months (3-102). The overall survival (OS), disease free survival (DFS), local control rate (LCR), and Distant metastasis free survival (DMFS) at 5 years were 80.5%, 80.1%, 87.7% and 89.1%. Metabolic CR was found in 43 (71.7%) and partial metabolic response (PR) was noted in 17 (14.6%). Metabolic CR was significantly correlated with OS, DFS, LCR, and DMFS. On multivariate analysis, Metabolic CR remained significant for DFS and LCR. Conclusion: Metabolic CR on post-radiotherapy FDG PET-CT is highly predictive of increased DFS and LCR in patients with head and neck cancer.

Assessment of the Risks of Occupational Diseases of the Passenger Bus Drivers

  • Golinko, Vasyl;Cheberyachko, Serhiy;Deryugin, Oleg;Tretyak, Olena;Dusmatova, Olga
    • Safety and Health at Work
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    • 제11권4호
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    • pp.543-549
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    • 2020
  • Background: The working conditions of bus drivers are difficult; they lead to occupational diseases and require careful study, particularly in Ukraine. The objective of the article is the description of occupational health risks of passenger bus drivers that lead to deteriorating health. Methods: The risk assessment was performed using a modified Risk Score method, which allowed determining the generalized level of danger to the driver's health. The hygienic hazards level was assessed as based on Stevenson's law, which was generalized later. Results: Based on the modification of the Risk Score method, it was possible to depart from expert assessments method of the risk level and calculate the general indicator based on the degree of dependence of the impact on the human body on its intensity, proposed by V. Minko. This allows objective determining of the impact of hygiene hazards on the health of the driver and to predict the occurrence of occupational diseases associated with the cardiovascular system, musculoskeletal system, and partial or complete disability due to the accumulation of emotional fatigue. The hazard assessment was carried out for three brands of passenger buses common in Ukraine, in which the driver is exposed to the dangers of fever, vibration, noise, harmful impurities in the bus cabin, and emotional load. Conclusion: The health of drivers in the cabins of passenger buses is most affected by hygiene hazards: fever, vibration, and emotional stress. The generalized level of risk is calculated by the modified method of Risk Score is 0.83; -0.99, -0.92 respectively.

Anti-inflammatory and antioxidant activities of Sargassum horneri extract in RAW264.7 macrophages

  • Kim, Min Ju;Jo, Hee Geun;Ramakrishna, Chilakala;Lee, Seung-Jae;Lee, Dong-Sung;Cheong, Sun Hee
    • 운동영양학회지
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    • 제25권4호
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    • pp.45-53
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    • 2021
  • [Purpose] In this study, we investigated whether a 70% ethanolic (EtOH) extract of Sargassum horneri had antioxidant and anti-inflammatory effects in lipopolysaccharide (LPS)-stimulated macrophage-like RAW 264.7 cells. [Methods] The proximate composition, fatty acids, amino acids, and dietary fiber of S. horneri, various biologically active compounds, and antioxidant activity were analyzed. [Results] The DPPH and ABTS free radical scavenging activities, as well as the reduction power, of the S. horneri extract used here were significantly increased in a concentration-dependent manner. This indicates that S. horneri contains bioactive compounds, such as phenols and flavonoids, that have excellent antioxidant activity. The cellular viability and metabolic activity results confirmed that the extract had no discernible toxicity at concentrations up to 100 ㎍/mL. The levels of nitrites and cytokines (PGE2, TNF-α and IL-6), which mediate pro-inflammatory effect, were significantly inhibited by treatment with either 50 or 100 ㎍/mL S. horneri extract, whereas that of IL-1β was significantly inhibited by treatment with 100 ㎍/mL of the extract. Similarly, the expression of iNOS and COX-2 proteins also decreased according to 50 or 100 ㎍/mL extract concentrations. NF-κB binding to DNA was also significantly inhibited by treatment with 100 ㎍/mL of extract. [Conclusion] These results suggest that 70% EtOH extracts of S. horneri can relieve inflammation caused by disease or high intensity exercise.

청년 1인 가구의 건강 관련 삶의 질 영향요인: 회복탄력성의 매개효과를 중심으로 (Factors influencing health-related quality of life for young single-person households: the mediating effect of resilience)

  • 이수진;이수진;김향란
    • Journal of Korean Biological Nursing Science
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    • 제25권3호
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    • pp.160-171
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    • 2023
  • Purpose: To identify factors influencing health-related quality of life for young single-person households, this study investigated physical and mental health status, health behavior, depression, resilience, and health-related quality of life. Methods: An online survey was administered to members of young single-person households from March 22 to 30, 2022. The data were analyzed using the chi-square test, independent t-test, one-way analysis of variance, Pearson correlation coefficients, multiple regression, and a simple mediation model applying the PROCESS macro model 4 with 95% bias-corrected bootstrapped confidence intervals. Results: The participants were 229 members of young single-person households. Health-related quality of life showed significant relationships with residence (t = 2.80, p = .006), month (F = 3.70, p = .026), mental health status (F = 20.33, p < . 001), and high-intensity exercise (F = 7.35, p = .001) among general and health-related characteristics. Health-related quality of life had significant correlations with depression (r = -.72, p < .001) and resilience (r = .58, p < .001). Multiple regression analysis showed that depression (β = -.57, p < .001) and resilience (β = .21, p < .001) influenced health-related quality of life. Moreover, resilience had a mediating effect between depression and health-related quality of life (indirect effect = -0.002, 95% bias-corrected bootstrapped confidence interval = -0.003 to -0.001). Conclusion: Members of young single-person households tended to be more vulnerable to emergency situations, such as during the coronavirus disease 2019 pandemic, when lockdowns and quarantines were frequent. To improve health-related quality of life in young single-person households, people with high levels of depression or low levels of resilience need special attention and support to promote mental health.