• Title/Summary/Keyword: gout

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An Analysis of Health Counseling in One Rheumatic Center Homepage by the Internet (일 병원 류마티스센터 홈페이지의 인터넷 상담내용 분석)

  • Sohng, Kyeong-Yae;Paik, Seung-In;Kwon, Eun-Ha
    • Journal of muscle and joint health
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    • v.10 no.1
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    • pp.54-61
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    • 2003
  • Due to the development in computer mediated communication, there are many homepages on the web, which provide medical on health counseling and education. The internet is becoming increasingly important and essential in medicine. But little was known about what problems can be counseled and what difficulties are met during the computer mediated counseling. This study was performed to investigate the content and purpose of health counseling on the web. The data were collected from March 1st, 2002 to February 28th, 2003, from 199 questioners visited one rheumatic center homepage questionary/answering(Q/A) site. Most of the questioners consulted health problems of their own or their families. The 51.3% of them were diagnosed medically Rheumatoid arthritis was the most frequent disease and followed systemic lupus erythematosus, gout and ankylosing spondylitis. Most of the questioners needed to know treatment principles, diagnosing process, and information regarding the clinic. During the one-year period, the average number of users questioning was 29.4 cases and answering was 44.8 cases. Above findings suggest that computer mediated health counseling of rheumatic patients may be useful supplement of health education for them. Communication using internet has become popular, but this kind of approach needs a proper guideline. It is highly recommended that nurses be familiar with the e-health and e-medicine.

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Inhibitory Effect of Flavan-3-ols Isolated from Oolong Tea on Xanthine Oxidase (우롱차로부터 분리된 Flavan-3-ol 화합물의 Xanthine Oxidase에 대한 저해 영향)

  • An, Bong-Jeun;Bae, Man-Jong;Choi, Chung
    • Korean Journal of Food Science and Technology
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    • v.28 no.6
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    • pp.1084-1088
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    • 1996
  • As a series of study for an anti-gout agent, two flavan-3-ols have been isolated from Oolong tea. They showed positive reaction in $anisaldehyde-H_2SO_4$ solution and $FeCl_3$, which were able to be confirmed in TLC with dimeric flavan-3-ols. The components were identified as procyanidin B-2 and procyanidin B-2-O-3, 3'-di-gallate by spectroscopic analysis. Their inhibitory effect on xanthine oxidase was also investigated and procyanidin B-2-O-3, 3'-digallate showed 60.6% inhibition at $50\;{\mu}mole$. The compound competitively inhibited the xantine oxidase and dimeric flavan-3-ols contanining gallate had higher inhibition activity.

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The ABCG2 Polymorphism rs2725220 Is Associated with Hyperuricemia in the Korean Population

  • Sull, Jae Woong;Yang, Seung-Ju;Kim, Soriul;Jee, Sun Ha
    • Genomics & Informatics
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    • v.12 no.4
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    • pp.231-235
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    • 2014
  • Elevated serum uric acid levels are associated with a variety of adverse health outcomes, including gout, hypertension, diabetes mellitus, metabolic syndrome, and cardiovascular diseases. Several genome-wide association studies on uric acid levels have implicated the ATP-binding cassette, subfamily G, member 2 (ABCG2) gene as being possibly causal. We investigated an association between the single-nucleotide polymorphism (SNP) rs2725220 in the ABCG2 gene and uric acid levels in the Korean population. A total of 991 subjects in Seoul City were used for a replication study with ABCG2 SNP rs2725220. The rs2725220 SNP in the ABCG2 gene was associated with mean uric acid levels (effect per allele 0.25 mg/dL, p < 0.0001). Subjects with the GC/CC genotype had a 1.78-fold (range, 1.22- to 2.62-fold) higher risk of having abnormal uric acid levels (${\geq}7.0mg/dL$) than subjects with the GG genotype. When analyzed by gender, the association with ABCG2 was stronger in men than in women. The association with ABCG2 was much stronger in male subjects with body mass index (BMI) ${\geq}26.4$ (odds ratio, 5.09; 95% confidence interval, 2.41 to 10.8) than in male subjects with BMI < 26.4. This study clearly demonstrates that genetic variations in ABCG2 influence uric acid levels in Korean adults.

Clinical Analysis of Facial Nerve Paralysis Patients Improved by Sasang Constitutional Medical Treat : A Retrospective Cross-Sectional Study (한방병원을 내원한 말초성 안면신경마비 환자의 사상의학적 임상 치료 : 후향적 단면연구)

  • Kang, Seok-Hwan;Jeon, Soo-Hyung;Jeong, Jong-Hun;Na, Young-Ju;Seo, Yeon-Ju;Kim, Jong-Won
    • Journal of Sasang Constitutional Medicine
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    • v.27 no.1
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    • pp.138-148
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    • 2015
  • Objectives This study was conducted in order to analyze the distribution of Sasang constitution, herbmed, exterior-interior disease and concomitant symptoms of 36 facial nerve paralysis patients. Methods A clinical study was done on 36 patients, treated as facial nerve paralysis. Sasang constitution specialist diagnosed their constitution and gave prescription. Degree of improvement was evaluated by assessment scale or change of patient's complaint. Results 1) Distribution of sasang constituion : Taeeumin 21 patients, Soyangin 8 patients, Soeumin 7 patients. 2) Distribution of exterior-interior disease : Taeeumin and Soeumin were diagnosed as interior disease more than exterior disease, Soyangin was reverse. 3) Hyeongbangdojeok-san and Hyeongbangjihwang-tang (Soyangin), Galgeunhaegi-tang(Taeeumin) and Gwakhyangjeonggi-san(Soeumin) were used the most in each sasang constitution. 4) Seventeen patients had concomitant symptoms : digestive disorder, sleep disorder, tinnitus, hypertension, diplopia, itching, gout, neck-shoulder pain, constipation and dizziness. Conclusions Patients had different Sasang constitution and in the same Sasang constitution, they had different symptomatology.

Comparison of Organic Acid Contents and Xanthine Oxidase Inhibitory Activities of Commercial Fruit Juices and Vinegars (시판 과일 주스와 식초의 유기산 함량과 Xanthin Oxidase 저해 활성 비교)

  • Hwang, Ji-Young;Pyo, Young-Hee
    • Journal of the Korean Society of Food Science and Nutrition
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    • v.45 no.11
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    • pp.1685-1690
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    • 2016
  • Xanthine oxidase (XO) inhibitors play an important role in the treatment of gout and many other diseases related to superoxide anion metabolism. In this study, four commercial fruit juices and three vinegars were evaluated for their inhibitory activity of XO (XOI), as well as contents of organic acids by HPLC with UV detection. Five different organic acids were detected in commercial samples: acetic acid and malic acid were the most prominent in vinegars and fruit juices, respectively. The vinegars showed high XOI activity (33.8~64.9%) related to the great concentration of acetic acid ($R^2=0.7192$). The presence of acetic acid in vinegar could be responsible for its XOI effect.

Idiopathic Calcium Pyrophosphate Dihydrate (CPPD) Crystal Deposition Disease in a Young Female Patient - A Case Report - (젊은 여자환자에서 발생한 특발성 칼슘 피로 인산염 침착질환 - 증례보고 -)

  • Choi, Eui-Sung;Park, Kyoung-Jin;Kim, Yong-Min;Kim, Dong-Soo;Shon, Hyun-Chul;Cho, Byung-Ki;Lee, Hyun-Chul
    • Clinics in Shoulder and Elbow
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    • v.12 no.1
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    • pp.84-88
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    • 2009
  • Purpose: Calcium pyrophosphate dihydrate crystal deposition disease(CPPD) is a disease of the elderly and extremely rare in young individuals. If young people develop CPPD crystal deposition disease, it may be associated with metabolic diseases, such as hemochromatosis, hyperparathyroidism, hypophosphatasia, hypomagnesemia, Wilson's disease, hypothyroidism, and gout. Materials and Methods: Therefore, in young-onset CPPD crystal deposition disease, an investigation of any predisposing metabolic conditions is warranted. Conclusion: We report a case of a young female patient who presented with idiopathic CPPD crystal deposition disease at 25 years of age.

Isolation of a Novel Polyphenol from Oolong Tea and Its Effective Prevention of the Gout (우롱차로터 새로운 Polyphenol 분리 및 통풍 예방 효과)

  • An, Bong-Jeun;Lee, Jin-Tae;Bea, Man-Jong
    • Korean Journal of Food Science and Technology
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    • v.30 no.4
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    • pp.970-975
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    • 1998
  • Eighty percent of acetone extract were isolated from the leaves of Korean Oolong tea using Sephadex LH-20, MCI-gel, Fuji gel. The compound reacted the red and the blue with anisaldehyde and $FeCl_3$, respectively. Instrumental analysis of the derivatives of this compound showed that the chemical structure was decided to $epicatechin-(4{\beta}{\rightarrow}8)-epigallocatechin-3-O-gallate$ as a kind of dimeric proanthocyanidine, that bound with -(-)epicatechin and -(-)epigallocatechin-3-O-gallate, at the upper and the lower, respectively. Considering inhibition effect on xanthin oxidase by 62% levels at $50{\;}{\mu}mole$, this compound showed a possibility to be used as a new material for functional food.

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A Study on the Initial Shear Strength Characteristics of Sudden Gelation Grout (순결형 그라우트의 초기 전단강도 특성에 대한 연구)

  • Heo, Hyung-Seok;Park, Inn-Joon
    • Journal of the Korean Geotechnical Society
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    • v.36 no.9
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    • pp.33-44
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    • 2020
  • In order to analyze the shear strength characteristics of the grout with sudden gelation in the pre-hardening state, the viscosity of the mixture and the indoor vane shear test were performed. The grout was prepared according to the water-cement (w/c) ratio and the shear strength test was conducted. The plastic-state shear strength of grout was affected by the w/c ratio, so the lower the w/c ratio, the higher the initial shear strength was, and the longer the curing time was, the higher the shear strength was. The maximum shear strength occurred at the faster rotation angle as the higher shear strength was developed, and the lower shear strength occurred at the larger rotation angle. In addition, it was confirmed that the pre-hardening grout rapidly decreased in strength after the maximum shear strength was gained, and converged at a certain level after the rotation angle of the vane blade was about 70° to 90°.

Saengmaeksan, a traditional herbal formulation consisting of Panax ginseng, ameliorates hyperuricemia by inhibiting xanthine oxidase activity and enhancing urate excretion in rats

  • Sung, Yoon-Young;Yuk, Heung Joo;Kim, Dong-Seon
    • Journal of Ginseng Research
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    • v.45 no.5
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    • pp.565-574
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    • 2021
  • Background: Saengmaeksan (SMS) is a traditional Korean medicine composed of three herbs, Panax ginseng, Schisandra chinensis, and Liriope platyphylla. SMS is used to treat respiratory and cardiovascular disorders. However, whether SMS exerts antihyperuricemic effects is unknown. Methods: Effects of the SMS extract in water (SMS-W) and 30% ethanol (SMS-E) were studied in a rat model of potassium oxonate-induced hyperuricemia. Uric acid concentrations and xanthine oxidase (XO) activities were evaluated in the serum, urine, and hepatic tissue. Using renal histopathology to assess kidney function and uric acid excretion, we investigated serum creatinine and blood urea nitrogen concentrations, as well as protein levels of renal urate transporter 1 (URAT1), glucose transporter 9 (GLUT9), and organic anion transporter 1 (OAT1). The effects of SMS on in vitro XO activity and uric acid uptake were also evaluated. The components of SMS were identified using Ultra Performance Liquid Chromatography (UPLC). Results: SMS-E reduced serum uric acid and creatinine concentrations, and elevated urine uric acid excretion. SMS-E lowered XO activities in both the serum and liver, and downregulated the expression of renal URAT1 and GLUT9 proteins. SMS-E reduced renal inflammation and IL-1b levels in both the serum and kidneys. SMS-E inhibited both in vitro XO activity and urate uptake in URAT1-expressing oocytes. Using UPLC, 25 ginsenosides were identified, all of which were present in higher levels in SMS-E than in SMS-W. Conclusion: SMS-E exhibited antihyperuricemic effects by regulating XO activity and renal urate transporters, providing the first evidence of its applicability in the treatment of hyperuricemia and gout.

A Case Report on Hemiplegia in a Patient with an Intracerebral Hemorrhage of the Basal Ganglia of the Corona Radiata Treated with Traditional Korean and Western Medicine (기저핵-대뇌부챗살 뇌출혈로 인한 반신부전마비에 대한 한·양방 병행 치험 1례)

  • Jung, Da-hae;Kil, Bong-hun;Kim, Dong-won;Youn, Hye-soo;Lee, Eun-chang;Jo, Hye-mi;Han, Da-young;Son, Ah-hyun
    • The Journal of Internal Korean Medicine
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    • v.42 no.5
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    • pp.1131-1141
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    • 2021
  • Objective: This study examined the case of a 63-year-old man with a history of hypertension and gout who had developed an intracerebral hemorrhage (ICH) of the right basal ganglia of the corona radiata. Methods: The patient was treated with herbal medicine (Boyanghwanoh-tang and powdered Oryeong-san extract), Western medicine (Anticonvulsants, antihypertensive drugs, psychotropic agents, and others), acupuncture, moxibustion, cupping, and rehabilitative therapy. Their effects were evaluated using the Manual Muscle Test (MMT), Korean version of the modified Barthel Index (K-MBI), National Institute of Health's Stroke Scale (NIHSS), and Modified Rankin Scale (mRS). Results: After treatment, the MMT grade improved from 3/3+ to 4+/4+. Additionally, the K-MBI score improved from 62 to 77. Conclusion: The results suggest that combined traditional Korean and Western medicine can effectively treat patients with ICH.