• 제목/요약/키워드: pathological

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병적 웃음과 울음 : 병태 생리와 치료 (Pathological Laughing and Crying : Pathophysiology and Treatment)

  • 김지현;남범우;최진영
    • 정신신체의학
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    • 제21권2호
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    • pp.93-98
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    • 2013
  • 병적 웃음과 울음(Pathological laughing and crying, PLC)은 감정과 관계없이 갑작스럽게 표출되는 웃음이나 울음이 특징이며 신경계 질환과 관련 있다. 이는 환자의 대인관계 및 일상생활에 상당한 곤란을 가져오지만 약물치료에 비교적 반응이 좋으므로 적절한 진단이 중요하다. PLC는 전전두엽과 변연주변 네트워크(paralimbic network), 소뇌 및 교뇌 기저의 조절이상으로 발생한다. 이들의 조절에는 여러 신경전달물질이 관여하며 특히 세로토닌성 기능의 이상이 관련있다. 주된 치료는 약물치료이며 선택적 세로토닌 재흡수 억제제를 비롯한 항우울제에 좋은 효과를 보인다. 그 외 도파민계 약물, 비경쟁적 NMDA 수용체 길항제도 일부 효과가 있다. PLC의 진단과 평가에는 몇 가지 척도들이 사용되고 있으나 그 특징적 임상양상을 파악하는 것이 가장 중요하다. 따라서 이러한 PLC의 임상양상과 병태생리를 이해하고 적절한 치료법을 살펴봄으로써 임상에서의 관심을 높이고자 한다.

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소양인처방(少陽人處方) 활용(活用)에 대한 임상적(臨床的) 연구(硏究) (A Clinical Study on Soyangin Prescription)

  • 구덕모
    • 사상체질의학회지
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    • 제17권2호
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    • pp.52-63
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    • 2005
  • 1. Objectives Due to a lack of detail guidelines for prescriptions to ordinary and pathological symptoms in ${\ulcorner}$DongyiSuseBowon${\lrcorner}$, doctors depend on their own decision when give a prescription. This study aimed to compare ordinary symptoms and pathological symptoms in regards to six prescriptions being applied to Soyangin to utilize them as guidelines in practices. 2. Methods Date were collected from September, 2003 to August, 2004 at the Sasang Constitutional clinic of Pohang Oriental Medicine Hospital. Patients were first asked to fill Out a questionnaire of symptoms that they had at the time of visiting. Data from 273 Soyangin patients whose chief complains got alleviated after taking the prescribed drug were analyzed to examine if there were differences in prescriptions according to ordinary or pathological symptoms complained. 3. Results and Conclusions 1. Hyungbangpaedog-san(Paedog) was given more to the patients having good digestive function than Hyungbangjihwang-tang(Hyungji) and Hyungbangdojeok-san (Dojeok) ; Dojeok was given for bloating symptom compared to Hyungbangsabaek-san(Sabaek). Yangkyuksanhwa-tang(Yangkyuk) and Dojeok were more like for patients with stomachache compared to Paedog. Doghwaljihwang-tang(Dogji) was prescribed to patients complaining frequent voiding compared to Sabaek while Sabaek was given for patients who prefer cold water and feel their body warm compared to other prescriptions. Yangkyuk and Dojeok were prescribed more likely to patients with feeling of suffocation than Sabaek. 2. In symptom comparisons between one prescription and the group of the rest of 5 prescriptions, Paedog was found to be prescribed when patients had good digestive function while Dojeok was given in symptoms cases of indigestion, bloating, constipation and dizziness. Sabaek was applied more for patients having tendency of preferring cold water and feeling of heat body as well as good digestive function. Hyungji was used for patients complaining a symptom of fatigue, in addition Yangkyuk was given to patients who were nervous, sensitive, or impatient when compared to Other prescriptions. Dogji was applied to frequent voiding, insomnia, tingling of extremities, backache or leg pain, or in case of tendency of catching a common cold.

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일본인 대상자의 사상체질별 소증, 병증 특성에 관한 연구 (A Study on the Physiological Symptoms and Pathological Symptoms of Japanese to Sasang Constitution)

  • 김윤영;유종향;김호석;이시우
    • 사상체질의학회지
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    • 제24권3호
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    • pp.50-59
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    • 2012
  • Objectives In this research, the constitutional diagnosis based on the theory of Sasang constitutions were carried out to Japanese subjects living in Japan, and the external applicability of Sasang constitutional medicine was evaluated by analyzing the physiological symptoms and the pathological symptoms according to their constitutions. Methods Total 144 Japanese subjects who live in S city were invited from Mar. 2010 to Jul. 2011 for the research, and their constitutions were analyzed with constitution diagnosing tool that was developed by Korean institution of oriental medicine (KIOM) in 2011. The collected data was analyzed in terms of the physiological symptoms and the pathological symptoms according to the sasang constitutions with computer software of SPSS 17.0. Results In the physiological symptoms related to excrements, Soyangin more frequently did not have excrements of gold color (p=.034) and feel the tenesmus (p=.047) than the subjects of other constitutions. In the physiological symptoms related to cold & heat, Soyangin more frequently felt cold in feet and hands (p=.011), and Soeumin more frequently didn't like drinking water regardless of thirst (p=.017). In the physiological symptoms, Soyangin frequently felt dryness in eyes, and Taeumin frequently felt uncomfortable because of the phlegm. Conclusions The theory of Sasang constitution which is a Korean traditional medicine can also be applied to the health care of Japanese, and it can contribute to the health promotion of Japanese subjects.

Combination of Vitamin C and Rutin on Neuropathy and Lung Damage of Diabetes Mellitus Rats

  • Sohn, Uy-Dong;Je, Hyun-Dong;Shin, Chang-Yell;Park, Sun-Young;Yim, Sung-Hyuk;Kum, Chan;Huh, In-Hoi;Kim, Jin -Hak
    • Archives of Pharmacal Research
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    • 제25권2호
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    • pp.184-191
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    • 2002
  • We investigated the role of vitamin C or rutin on neuropathy and lung damage of diabetic mellitus(DM) rats. Norepinephrine content was significantly decreased in sciatic nerves of DM rats compared with non-DM controls but vitamin C had no effect on decreases of norepinephrine. 2,4-dinitrophenylhydrazine (DNPH) incorporation, which is biomarker of protein oxidation, was increased in sciatic nerve of DM rats as compared with normal control. However, vitamin C had no effects on increases of DNPH incorporation . We measured the content of conjugated dienes (CD) as a biomarker of lipid oxidation in sciatic nerve. CD was increased in DM as compared with normal control, Vitamin C or rutin had no effects on increases of CD. However, Rutin plus vitamin C significantly decreased the content of CD as compared with CIM rats. In lung of DM rats, DNPH incorporation or CD was increased as compared with normal control. Vitamin C or Rutin had no effects on increases of CD However, Rutin plus vitamin C significantly decreased the content of DNPH incorporation or CD in lung tissue. Vitamin C caused marked pathological changes such as the increases of parenchyma and the thickening of alveolar septa in the lung of DM. Rutin had protective effects on the pathological changes in the lung of DM rats. In conclusion, Vitamin C had no effects on oxidative parameter, such as DNPH incorporation or CD, and on the decreases of norepinephrine content in DM rats. Vitamin C caused the marked pathological changes in the lung of DM rats but rutin had protective efforts against the pathological changes.

사상체질별 건강 평가 지표의 중요도 조사 연구 (Study on the Weight of Health Evaluation Indexes according to Sasang Constitution)

  • 장은수;황지호;김상혁;이시우;김종열
    • 동의생리병리학회지
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    • 제23권6호
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    • pp.1267-1272
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    • 2009
  • The purpose of this study is to survey the importance of items for the physiological and pathological symptoms for estimating a health condition according to Sasang constitution to establish the SHI(Sasangin Health Index) which will reflect the concept of inherent vitality. We surveyed expert opinion with questionnaires from 20 Sasang constitution specialists. The questionnaire was composed of 57 items on physiological and pathological symptoms and specialist opinions. Each item was marked from A to E according to importance in evaluating health state in each constitution, and if the mean score of an item was over 3.0, the item was regarded as important. Important indexes among physiological symptoms were diet, digestion condition, perspiration condition, frequency of defecation, heat and cold response, and temperature of drinking water in Soeumin, pathologic perspiration and defecation condition in Soyangin, repast, perspiration condition, and the amount of drinking water in Taeeumin, and urination frequency in Taeyangin. Important indexes among pathological symptoms were sighing, indigestion, and abdominal pain in Soeumin, oral condition, chest distress, brash, and amnesia in Soyangin, eye condition, palpitation, and edema in Taeeumin, and vomiting and incapacity of the lower limbs in Taeyangin. There are different health evaluating index and priority order in it according to Sasang constitution.

한국표준질병사인분류(KCD)에 오적(五積) 추가에 대한 제안 (A Proposal on the Addition of Wǔjī(五積) in KCD(Korean standard classification of disease and cause of death))

  • 이재흥;노주희;강한주;배재룡
    • 대한의료기공학회지
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    • 제19권1호
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    • pp.43-98
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    • 2019
  • Objective : The purpose of this study is to propose adding Wǔjī(五積) to KCD. Methods : The pathological details of Wǔjī(五積) mentioned in the classic literatures were extracted and compiled to provide the basis that Wǔjī(五積) should be registered in the KCD. Conclusions : 1. Jī(積) is a very important pathological and clinically element of Korean Medicine. So not only Shíjī(食積) but also Wǔjī(五積) should be registered in the KCD. 2. We suggest adding Wǔjī((五積) to the U-Code 64~71 of the KCD due to its pathological nature. 3. If Wǔjī((五積) is registered in the KCD, it will provide a more systematic and objective approach to Jī(積) in the future, and it is expected to provide an opportunity to drastically enhance the performance of Korean Medicine treatments for cancer or tumors by forming various and extensive big data. 4. Regardless of whether or not Wǔjī((五積) is added to the KCD, the clinical and pathological re-establishment of Wǔjī(五積) should be performed in accordance with the present period and social situation through continuous and extensive clinical research about Jī(積).

The Effects of Computer Game Exposure on Musculoskeletal Pathological Symptoms in Adolescents

  • Chae, Woen-Sik;Jung, Jae-Hu
    • 한국운동역학회지
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    • 제28권1호
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    • pp.55-60
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    • 2018
  • Objective: This study aimed to analyze the effects of computer game exposure on pathological musculoskeletal symptoms in adolescents. Method: This study included 10 male junior high school students who used computers less than 3 times a week for 1 hr per day. The subjects were asked to play computer games for 4 hr. Magnetic resonance imaging of the hand and wrist, from the distal radius and ulnar head to the distal phalanges, and radiography of the cervical vertebrae were performed before and after playing computer games. For each dependent variable, a paired t-test was performed to identify significant changes before and after a 4-hr active computer game (p<.05). Results: The horizontal diameters of the flexor tendons in the index and middle fingers were significantly reduced after playing computer games. The horizontal diameters of the flexor tendons of other fingers did not show any significant differences, but there was a tendency toward a decrease after playing computer games. There was no significant change in the cervical lordosis angle before and after playing computer games. However, the cervical lordosis angle was relatively decreased. Conclusion: The results of this study showed that computer game exposure had direct and indirect effects on morphological changes of flexor tendons. In addition, playing computer games for long periods of time can have a negative effect on normal functioning of the musculoskeletal system, with the possible development of abnormalities. However, computer game exposure in adolescents cannot be decisively identified as a factor causing pathological symptoms, based on the results of this study alone. Thus, longterm longitudinal studies on the overall musculoskeletal system are necessary.

Comparisons of Pathological Responses in Carrot to Root-knot Nematodes

  • Seo, Yunhee;Kim, Yong Su;Park, Yong;Kim, Young Ho
    • The Plant Pathology Journal
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    • 제31권4호
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    • pp.441-445
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    • 2015
  • Carrot (Dacus carota var. sativus) is one of the top-ten most economically important vegetable crops produced worldwide, and the root-knot nematodes, Meloidogyne spp., are one of the most important pests in the carrot. In Korea, M. hapla and M. incognita are presumed to be the major root-knot nematodes distributing mostly in open carrot fields and greenhouses, respectively. In our study, currently-developed and commercial carrot cultivars and the parental lines were examined for their pathological responses to M. incognita and M. hapla 7 weeks after inoculation with about 1,000 second-stage juveniles (J2) of the nematodes. All the carrot cultivars and lines showed susceptible responses to both nematodes with the gall index (GI) of 2.4-4.4, which were always higher on the carrot plants infected with M. incognita than M. hapla. Gall sizes were remarkably larger with more serious reduction of the root growths in the plants infected with M. incognita than M. hapla, suggesting the carrot lines examined in our study were more susceptible to the former than the latter. In the infection sites of the root tissues, giant cells were more extensively formed, occupying larger stellar regions with the prominent destruction of adjacent xylem vessels by M. incognita than M. hapla. All of these results suggest M. incognita affect more seriously on the carrot plants that are grown in greenhouses, compared to M. hapla that has a major distribution in open carrot fields, which would be used for determining cropping systems based on target nematode species, their damage and pathological characteristics.

Relation of Multiple Neurogenic Tumors in the Spinal Canal to Neurofibromatosis

  • Seol, Ho-Jun;Chung, Chun-Kee;Kim, Hyun-Jib;Lee, Yoon-Kyung;Park, Sung-Hye
    • Journal of Korean Neurosurgical Society
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    • 제38권1호
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    • pp.16-22
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    • 2005
  • Objective : The authors characterize a syndrome of multiple neurogenic tumors in the spinal canal, which is unclassifiable by the current National Institute of Health[NIH] criteria for neurofibromatosis. Methods : We retrospectively examined cases in which two or more spinal neurogenic tumors were detected by magnetic resonance[MR] imaging and which had been pathologically confirmed. Eighteen patients were recruited between February 1986 and March 2002. According to NIH criteria, eight cases were neurofibromatosis type 1[NF1], four were type 2[NF2], and six were neither type 1 nor type 2 [Unclassifiable : UC]. The locations of lesions, clinical presentations, radiological findings, and pathological results with immunohistochemistry were reviewed. Results : In the case of NF2, three of four cases were intradural tumors. Pathological examinations revealed neurilemmomas in two of four NF2 and all of the UC cases. In the case of NF1, pathological examinations showed seven neurofibromas and one neurilemmoma. Concerning UC, the age at presentation was middle-aged to late [mean age 48.5, range 35 to 64], which contrasted with ordinary NF2, where patients tended to become symptomatic before 20years of age. The pathological examinations of UC cases revealed neurilemmoma similar to most of NF2 and the immunohistochemical study showed characteristic of NF1. Conclusion : Multiple neurogenic tumors in the spinal canal are an under-recognized disease entity. Further studies for genetic aberration in multiple spinal neurogenic tumors are needed.

병적 치아 이동된 상악 전치의 치주, 보철 치료 후 10년 경과 증례 (Periodontal and prosthetic treatment of maxillary incisors with pathological tooth migration: a case report with 10-year follow-up)

  • 김소연;권은영
    • 구강회복응용과학지
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    • 제38권1호
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    • pp.26-33
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    • 2022
  • 전치부 치간 사이 공간은 치주 환자에게 흔히 발생되는 병적 치아 이동(PTM, pathological tooth migration)과 함께 자주 관찰된다. PTM에는 다양한 교합적 요인들이 기여하는데 특히 상악 전치부에서는 과도한 교합력이 있을 때 위치 문제로 인한 불리함 때문에 치간 이개가 쉽게 발생한다. 치주 지지 조직이 소실된 치아는 의도적인 연결 고정(splinting)을 통해 지지 면적을 확장하면 안정성이 증가될 수 있다. 또한 고정성 보철물로 수복 시에는 불리한 교합을 유리한 형태로 바꿀 수 있다. 임시보철물을 통해 안정적 교합을 확보 후 이것을 최종보철물로 옮기는 일은 CAD-CAM을 통하여 가능하다. 본 증례에서는 치간 접촉이 상실된 상악 전치부에서 정확한 진단과 치료를 통해 장기적으로 안정적인 결과를 보여 소개하고자 한다.