• 제목/요약/키워드: dysfunction

검색결과 3,326건 처리시간 0.03초

Helkimos Indices and Frictions Craniomandibular Index in Korean Young Population

  • Kyoung-Ho Lee;Keun-Kook Lee;Young-Ku Kim
    • Journal of Oral Medicine and Pain
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    • 제17권1호
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    • pp.89-94
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    • 1992
  • To evaluate Helhimo's Anamnestic Dysfunction Index(AI), Helkimo's Clinical Dysfunction Index(HDI), and Friction's Craniomandibular Index(CMI) in Korean Young population, clinical examinations were performed in 207 dental college students who were healthy and had no evidence of the craniomandibular disorders. The obtained results were as follows; 1. The mean values of the Helkimo's Anamnestic Index(AI), Clinical Dysfunction Index(HDI), Fricton's Palpation Index(PI), Dysfunction Index(DI), and Craniomandibular Index(CMI) were 0.35, 0.71, 0.03, 0.05, and 0.04 in male subjects. 2. The mean values of the Helkimo's Anamnestic Index(AI), Clinical Dysfunction Index(HDI), Fricton's Palpation Index(PT), Dysfunction Index(DI), and Fricton's Craniomandibular Index(CMI) were 0.42, 0.72, 0.02, 0.04, and 0.03 in female subjects. 3. There was no statistically significant difference between male and female subjects in each parameter. 4. The palpation index(PI) observed in Korean Young Population was lower than that in American population.

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안면비대칭 환자의 악교정술 후 안면비대칭의 개선에 따른 악관절장애 증상의 변화 (CHANGES OF TEMPOROMANDIULAR JOINT SYMPTOMS AFTER ORTHOGNATHIC SURGERY IN THE ASYMMETRIC PROGNATHISM PATIENTS)

  • 김영삼;류동목
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • 제33권5호
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    • pp.518-523
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    • 2007
  • Purpose: The purpose of this study is to prove that orthognatic surgery on asymmetric prognathism patients improve the temporomandibular dysfunction. Materials and methods: All 30 patients underwent mandibular setback with B-SSRO including 22 patients Le Fort I surgery in KyungHee medical center. Preoperative and postoperative PA cephalograms & transcranial radiographs were measured midline deviation in Mx and Mn, occlusal canting change, condyle position, the temporomandibular dysfunction were checked before surgery, within 1 month after surgery, $3{\sim}6$ months, 12-24 months after surgery respectively. Results: The temporomandibular dysfunction were relieved after surgery in 17 patients of 25 patients. Conclusion: Orthognatic surgery may benefit the temporomandibular joint dysfunction in facial asymmetry patients by obtaining a postoperative stable occlusion and better physiologic neuromuscular function. Specially impovement of occlusal canting may reduce condyle displacement of midline deviation side and the temporomandibular joint dysfunction.

혈액투석 환자의 도관 기능부전 관리 프로토콜 적용이 도관개존 성공률 및 출혈 합병증에 미치는 영향 (Effect of Evidence-Based Practice Protocol for Catheter Dysfunction in Hemodialysis Patients: Focus on Patency Rates and Bleeding Complications)

  • 이경미;김미연
    • 임상간호연구
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    • 제24권3호
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    • pp.356-362
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    • 2018
  • Purpose: This study was a retrospective cohort study to evaluate the effect of evidence-based guidelines for catheter dysfunction among hemodialysis patients, Success rate and bleeding complications in catheterization were examined. Methods: We performed a retrospective cohort study, including 94 patients with catheter dysfunction who were receiving hemodialysis at a university hospital; 55 in the control group and 39 in the protocol group. This protocol was composed of the catheter dysfunction assessment, conservative management of catheter dysfunction, drug management of catheter dysfunction, catheter function test and maintenance management. Data were analyzed with a Chi-square test and t-test using SPSS/WIN 23.0 program. Results: The patency rate of the protocol group was significantly higher than that of the control group. The rate of bleeding complications was not statistically significant for either the control group or the protocol group before or after application. Conclusion: The application of the guidelines effectively increased the patency rate of the catheter without bleeding complications. It is hoped that this guideline can be disseminated to nurses nationwide to improve the efficiency of catheter function for hemodialysis patients.

Diclofenac, a Non-steroidal Anti-inflammatory Drug, Inhibits L-type $Ca^{2+}$ Channels in Neonatal Rat Ventricular Cardiomyocytes

  • Yarishkin, Oleg V.;Hwang, Eun-Mi;Kim, Dong-Gyu;Yoo, Jae-Cheal;Kang, Sang-Soo;Kim, Deok-Ryoung;Shin, Jae-Hee-Jung;Chung, Hye-Joo;Jeong, Ho-Sang;Kang, Da-Won;Han, Jae-Hee;Park, Jae-Yong;Hong, Seong-Geun
    • The Korean Journal of Physiology and Pharmacology
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    • 제13권6호
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    • pp.437-442
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    • 2009
  • A non-steroidal anti-inflammatory drug (NSAID) has many adverse effects including cardiovascular (CV) risk. Diclofenac among the nonselective NSAIDs has the highest CV risk such as congestive heart failure, which resulted commonly from the impaired cardiac pumping due to a disrupted excitationcontraction (E-C) coupling. We investigated the effects of diclofenac on the L-type calcium channels which are essential to the E-C coupling at the level of single ventricular myocytes isolated from neonatal rat heart, using the whole-cell voltage-clamp technique. Only diclofenac of three NSAIDs, including naproxen and ibuprofen, significantly reduced inward whole cell currents. At concentrations higher than $3\;{\mu}M$, diclofenac inhibited reversibly the $Na^+$ current and did irreversibly the L-type $Ca^{2+}$ channels-mediated inward current $(IC_{50}=12.89\pm0.43\;{\mu}M)$ in a dose-dependent manner. However, nifedipine, a well-known L-type channel blocker, effectively inhibited the L-type $Ca^{2+}$ currents but not the $Na^+$ current. Our finding may explain that diclofenac causes the CV risk by the inhibition of L-type $Ca^{2+}$ channel, leading to the impairment of E-C coupling in cardiac myocytes.

Expression of pro-opiomelanocortin and agouti-related protein in the hypothalamus of caffeine-administered rats

  • Jeong, Joo-Yeon;Ku, Bo-Mi;Lee, Yeon-Kyung;Ryu, Jin-Hyun;Choi, Jung-Il;Kim, Joon-Soo;Cho, Yong-Woon;Roh, Gu-Seob;Kim, Hyun-Joon;Cho, Gyeong-Jae;Choi, Wan-Sung;Kang, Sang-Soo
    • Animal cells and systems
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    • 제15권3호
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    • pp.203-210
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    • 2011
  • In the present study, we examined the effects of caffeine on food intake and body weight, and pro-opiomelanocortin (POMC) and agouti-related protein (AgRP) expression in the hypothalamus. Rats were administered intraperitoneally with 100 mg/kg caffeine (a high, non-toxic dose) or saline during the light phase. Intraperitoneal administration of caffeine induced a significant reduction in food intake and body weight 12 hr after treatment. In addition, POMC expression was significantly increased and AgRP expression was decreased in the arcuate nucleus (Arc) after caffeine treatment. These results demonstrate that administration of caffeine up-regulates POMC expression and down-regulates AgRP expression in the Arc, suggesting that the activation of the hypothalamic POMC neurons and inhibition of the AgRP neurons might play a role in the regulation of food intake and body weight by caffeine.

산수유를 포함한 복합추출물이 cimetidine으로 발기부전을 유도한 동물모델에서 성기능 개선 효과 (Effect of Complex Extract Including Cornus officinalis on the Cimetidine/Ethanol-induced Erectile Dysfunction Model in Rats)

  • 장지훈;김태묵;심미옥;노종현;정호경;이무진;이기호;안병관;조현우
    • 한국자원식물학회지
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    • 제31권2호
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    • pp.109-116
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    • 2018
  • 발기부전(erectile dysfunction, impotence)은 성교과정을 위한 음경이 딱딱하게 발기되지 않거나 유지하지 못하는 것을 말한다. 잦은 발기 부전은 심장 질환, 비만, 알코올 중독, 스트레스, 흡연 및 우울증을 비롯하여 치료가 필요한 건강상의 문제가 원인이 된다. 본 연구는 산수유(Cornus officinalis)를 포함한 복합 추출물이 발기부전 랫드모델에서 성기능과 관련된 인자에 미치는 영향을 알아보고자 하였다. 발기부전 랫드모델은 Cimetidine/5% EtOH를 2주 동안 경구투여하여 유도한 후, 산수유 등 복합추출물을 각각 다른 농도로 경구투여하였다. 그 결과, 산수유 등 복합추출물 처리군(CPL-300, 600, 900 mg/kg)에서 성 기능 인자(NO, cGMP)가 대조군에 비해 유의성 있게 향상되었다. 또한 혈청 테스토스테론은 산수유 등 복합추출물 처리 후 용량 의존적으로 증가하였다. 더욱이, 산수유 등 복합추출물의 투여는 발기부전 랫드모델에서 전립선의 크기를 회복시키는 것을 확인하였다. 결과를 종합하자면 산수유 등 복합추출물이 랫드모델에서 성기능 인자와 테스토스테론을 증가시킴으로써 발기부전을 완화시킨다는 것을 보여 주었고, 이는 산수유 등 복합추출물이 천연 추출물로 향 후 발기부전 치료에 사용될 수 있음을 시사한다. 하지만 산수유 복합추출물의 남성 성기능의 직접적인 연관관계, 유효성분과 그 메커니즘을 자세히 밝히기 위해서는 추가적인 연구가 필요하다고 사료된다.

직장인 중년남성의 갱년기 증후군과 발기부전, 우울, 삶의 질에 관한 연구 (A Study on Late-onset of Hypogonadism, Erectile Dysfunction, Depression, and Quality of Life among Middle-aged Male Worker)

  • 이미욱;박효정
    • 성인간호학회지
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    • 제25권5호
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    • pp.483-493
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    • 2013
  • Purpose: The purpose of this study was to examine late-onset hypogonadism, erectile dysfunction, depression, and quality of life among middle-aged male workers. Methods: The subjects included 343 men aged between 40 and 64, responded to self-report questionnaires on general characteristics, late-onset hypogonadism, erectile dysfunction, depression, and quality of life. Data were collected from May 16, 2012 to October 9, 2012 and analyzed using t-test, ANOVA, $x^2$-test, hierarchical multiple regression. Result: The prevalence rate of late-onset hypogonadism was 63.8% with high points in reduction of libido, energy, physical strength and endurance, and erectile function. There were significant differences in late-onset hypogonadism according to age($x^2$=8.98, p=.048) and in erectile dysfunction according to age(F=11.03, p<.001), monthly income(F=2.84, p=.024) and smoking( t=2.96, p=.018). Significant differences were also found in depression according to educational level(F=8.12, p<.001) and in quality of life according to monthly income(F=7.21, p<.001). The factors which influenced quality of life were late-onset hypogonadism, erectile dysfunction, depression, marital status and religion. Conclusion: Symptoms of erectile dysfunction can be improved by smoking cessation education program. In order to improve the life quality of middle-aged men, nursing intervention programs that would both provide proper knowledge on climacteric syndrome and alleviate symptoms should be designed while, at the same time, other programs to evaluate, prevent and control depression are developed.

악관절 기능장애의 진단을 위한 Pantronic PRI에 관한 연구 (A Study on pantronic PRI for Diagnosing TMJ Dysfunction)

  • 김관호;정성창
    • Journal of Oral Medicine and Pain
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    • 제11권1호
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    • pp.45-56
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    • 1986
  • 악관절 기능장애의 증상들 및 징후들 중의 하나인 하악운동의 부조화를 Pantongraphic Reproducibility Index(PRI)에 의하여 정량적으로 평가할 수 있는 Pantography 가 개발된 이래 많은 연구가 보고 되었으나 국내에서는 PRI에 대한 연구가 미비한 편이며, 특히 Pantronic PRI에 관한 연구는 전무하였다. 이에 저자는 선정기준에 적합한 서울대학교 치과대학에 재학중인 4학년 남학생 20명을 대상으로 Pantronic(Denar Corp., Anacheim, Calif.)을 사용하여 하악 한계운동의 재현도를 나타내는 Pantronic PRI를 측정하여 분석한 결과 다음과 같은 결론을 얻었다. 1. 20명의 피검자들의 Kelkimo의 임상적 기능장애 지수에 의해 Di0 군과 DiI군으로 분류되었으며, 이들 중 45%가 악관절 기능장애를 가지고 있는 것으로 진단되었다. 2. 20명의 피검자들은 Pantronic PRI에 의해 None, Slight 및 Moderate Category로 분류되었으며, 이들 중 82%가 악관절 기능장애를 가지고 있는 것으로 진단되었다. 3. Pantronic PRI의 악관절 기능장애에 대한 감지력은 Helkimo의 임상적 기능장애 지수에 비래 더 예민하였다.(p<0.01) 4. Pantronic PRI 점수들은 시간경과에 따라 반복 기록되었을 때 각 실험 시기 내에서 및 실험 시기 사이에서 일관성이 있었다. 5. 하악 한계 운동의 재현도를 나타내는 Pantronic PRI는 악관절 기능장애를 진단하고 그 정도를 평가하는데 사용될수 있겠다.

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Risk factors for short term thyroid dysfunction after hematopoietic stem cell transplantation in children

  • Jung, You Jin;Jeon, Yeon Jin;Cho, Won Kyoung;Lee, Jae Wook;Chung, Nack-Gyun;Jung, Min Ho;Cho, Bin;Suh, Byung-Kyu
    • Clinical and Experimental Pediatrics
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    • 제56권7호
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    • pp.298-303
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    • 2013
  • Purpose: The purpose of this study was to evaluate short-term thyroid dysfunction and related risk factors in pediatric patients who underwent hematopoietic stem cell transplantation (HSCT) during childhood. Methods: We studied 166 patients (100 boys and 66 girls) who underwent HSCT at the Catholic HSCT Center from January 2004 through December 2009. The mean age at HSCT was $10.0{\pm}4.8$ years. Thyroid function of the patients was tested before and during 3 months of HSCT. Results: Out of 166 patients, 165 (99.4%) underwent allotransplantation. Acute graft-versus-host disease (GVHD, grades II to IV) developed in 76 patients. Conditioning regimens before HSCT include total body irradiation (n=57), busulfan (n=80), and reduced intensity (n=29). Forty-five (27.1%) had thyroid dysfunction during 3 months after HSCT (29 euthyroid sick syndrome [ESS], 6 subclinical hyperthyroidism, 4 subclinical hypothyroidism, 3 hypothyroxinemia, 2 overt hyperthyroidism, and 1 high $T_4$ syndrome). In a univariate logistic regression analysis, age at HSCT (P=0.002) and acute GVHD (P=0.009) had statistically significant relationships with thyroid dysfunction during 3 months after HSCT. Also, in a univariate logistic regression analysis, ESS (P=0.014) showed a strong statistically significant association with mortality. Conclusion: In our study 27.1% patients experienced thyroid dysfunction during 3 months after HSCT. Increase in age and acute GVHD may be risk factors for thyroid dysfunction during 3 months after HSCT. There was a significant association between ESS and mortality.

직장인 남성에서 식이 요오드섭취량과 불현성 갑상선기능이상과의 연관성 (Dietary iodine intake and the association with subclinical thyroid dysfunction in male workers)

  • 김은혜;최태인;박유경
    • Journal of Nutrition and Health
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    • 제45권3호
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    • pp.218-228
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    • 2012
  • The prevalence rate of thyroid dysfunction (hypothyroidism and hyperthyroidism) has increased within the Korean population and seems to be affected by iodine dietary habits. Some studies reported that the prevalence of thyroid dysfunction increase both in the area of iodine deficiency and excess. In this study, we tried to discover the difference in iodine intake, anthropometric measurements, and blood parameters between male subjects with or without subclinical thyroid dysfunction. A total of 5,249 subjects (Euthyroid: 4706, SubHypo: 454, SubHyper: 89) were used in this study. There were no significant differences in BMI, body fat, visceral fat, waist circumference, SBP, DBP, total cholesterol, HDL-cholesterol, LDL-cholesterol, TG, fasting serum glucose, HbA1c, alcohol intake, however significant differences were noticed in both age and smoking status. Through a food frequency questionnaire (FFQ), iodine intake per day was estimated. The average iodine intake was similar (SubHypo $392.9{\pm}279.0{\mu}g$, Euthyroid $376.5{\pm}281.7{\mu}g$, SubHyper $357.3{\pm}253.8 {\mu}g$) among groups. The main source of iodine intake was eggs (52.8%, 54.2%, 52.4%) followed by milk (16.3%, 15.8%, 17.8%), then sea mustard & sea tangle (12.4%, 11.9%, 11.6%). The prevalence of subclinical hypothyroidism and subclinical hyperthyroidism was higher in subjects whose intake was higher than the recommended nutrient intake (RNI). These results suggest that the excess consumption of iodine intake may act as one of the risk factors regarding thyroid dysfunction in Korea. Therefore, an adequate amount of iodine intake is necessary in order to prevent subclinical thyroid dysfunction and clinical thyroid dysfunction.