Objectives : This study was aimed to review the trend of occupational health in korean medicine and to suggest the strategic approach. Methods : We collected 40 articles on occupational health in the internet site OASIS using the keyword 'workplace', 'worker'. Then we analyzed them. Results : There were 40 papers that were published between 2000 and 2012. Published papers on the korean journal of oriental preventive medicine were more than the other journals. Affiliation of the first author of the published papers was concentrated to one. Clinical research papers accounted for 90% of the total study. Papers on health management were more than half. Conclusions : Related to occupational health, high quality and large amount of research and development is needed and the active policy of the government should be supported in Korean medicine.
Objectives : The purpose of this study is to analyze internal research trends of work-related musculoskeletal disorders(WMSDs) and provide problems of researches forward. Methods : 6 Korean databases were searched for articles of WMSDs published from 2000 to 2012, and 264 research were systematic reviewed. An analytical method was used descriptive statistics, an actual number and percentage. Results : The results of distribution by year were reported more than 20 articles after 2004, and 45 articles in 2009. Industrial classification distribution of research subjects the manufacturing industry was many most at the 84. Research contents in most description were 147 whether it was risk factor and relation. Research design type of articles was most description survey research 226. In the research field 89 articles were reported to the journal related to technologies. Conclusions : It is considered to be necessary that ergonomic approach would cooperate with other approaches such as integrated health management system as well as industrial medicine considering psychosocial factors.
Caesalpinia sappan L. has long been commonly used in oriental folk medicines to treat diseases. To investigate the antibacterial effects from C. sappan L. heart wood, the MeOH soluble extract was successively fractionated by using hexane, $CHC1_3$, EtOAc, BuOH, MeOH, and $H_2O$. Among of these extracts, the EtOAc fraction which partitioned to 3.94% of the highest yields was to be the most active against all human pathogenic bacteria in this experiment. In addition, the antibacterial activities of the EtOAc fraction were more effective against Gram (+) bacteria compared to those against Gram (-) bacteria, which showed difference of the antibacterial activities against Gram (-) bacteria. To confirm the identity of the active substances, the EtOAc fraction was further separated by silica gel adsorption column, high performance liquid chromatography, and 98.48% purity of brazilin (1.67 mg)/EtOAc (10 mg) fraction was obtained from 300 g of C. sappan L. heart wood. The isolated active substance was a single compound of yellow crystalline, and was identified as brazilin ($C_{16}H_{14}O_5$) by MS, and $^lH$-NMR and $^{13}C$-NMR. These results suggest that the brazilin in the EtOAc fraction from MeOH extract of C. sappan L. has a potential as a natural therapeutic agent against human pathogenic Gram (+) bacteria such as Staphylococcus aureus.
The effects of several vulcanizing accelerators on the determination of kinetic parameters of natural rubber vulcanizate was studied by DSC. Kinetic parameters were determined by means of the calculation procedures of Borchardt-Daniels and Oscillating Disk Rheometer (ODR) cure curve analysis, using both DSC exothermal thermogram and ODR cure curve. In order to examine the credibility in the DSC method the same compound which was und for DSC method was used for the comparison with the results of ODR data. Upon this method, kinetic rate constant (k), and Arrehenius parameter (Ea, ko, n) have been determined for rubber compounds via a new method using DSC thermogram and ODR cure curve. In the comparison of DSC and ODR results, kinetic parameters has shown good agreements between two results. Consequently, from the present studies, it is shown that the DSC thermoanalytical method can provide an alternate new method of kinetic study of rubber vulcanization.
Therapeutic effect by injection-AP with antibiotics plus conventional treatment was investigated to establish a new treatment method for canine demodicosis. Three patients diagnosed into canine demodicosis were used in the present study. Injection-AP with enrofloxacin (5 mg/kg, twice a week) was made into the acupoints such as Fei Shu(BL13), Wei Zhong (BL40), Da Zhui (GV14), Zu San Li (ST36), He Gu (LI04), Qu Chi (LI11) and Sang Yin jiao(SP06) for 5 weeks. Further, they were additionally received with conventional treatments including injection of ivermectin (0.5 mg/kg, twice a week, SC) and 0.05% amitraz rinse (twice a week) for 5 weeks. The clinical symptoms (pruritus, excoriation, erythema and alopecia) were much improved by injection-AP therapy plus conventional treatment, compared by those of pre-treatment. Case 1 became to normal after 4 weeks, Case 2 became to mild after 5 weeks and Case 3 became to normal after 5 weeks. Total WBC revealed decreasing tendency with treatment in all cases, however, N/L ratios didn't show regular pattern of change with treatment. Notable changes were not histopathogically found in skin lesions of Case 1 and Case 3 except Case 2 with mild change after 5 weeks treatment, compared by those of pre-treatment, respectively. In conclusion, the present patients were cases with canine demodicosis which revealed favorable therapeutic response by injection-AP with antibiotics plus conventional treatment.
Eighty-eight strain3 o~methicillin resistant Stopllylococcus awecis were Isolated from pus (64.7%); spuhm (26.2%), blood, fluid, andurine of 83 patients at Dong-A Hospital in P~~san to invesligate theil-coagulase typ- Ing, and multi-drug resistaut ppattems. The presence of niec A gene confe~~ing melhicillin resistance was tested by polymerase chain reaction (PCR) with uwo mec A gene specific primers using purified clromosonlal DNA as templates. DNA fragments of expected size wel-e detected frorn 86 strains, but not from two strains. !i coagulase typmg, the 86 isolates were assigned to 5 coagulase lypes, I, 11, lll. 1V, VI, VII, VIlI, but there was no isolate helong lo type V. The most abundant coagulase type was type TI(50 %), lollowed by type IV Rest ofthe coagulase types were ininor; ranging fmm 4.5 to 12.5 '% Most of the type I1 ~netlucillin resistant Stapl\ulcorneryiococcus nwem (MRSA) strams were isolated from the generd sulzely ward, but major strains of type IV were Isolated from the otorhinolq~ngology of the hospital's outpatient clinic center. All of the 88 st~nins were sensitive to vancomycin and teicoplanin, but 71 (81%) strains showed multi-drug resitant to penicillin, cephalotl~n, eiythroinycin, gentan~ycin, imipenem, clindamycin, ciprofloxacin and ooxacillin. Yo relationship was found between the antibiotic resistance pattems aud the coagulase typing patterns.
Yang, Seung Heon;Kim, Chi Heon;Lee, Chang Hyun;Ko, Young San;Won, Youngil;Chung, Chun Kee
Journal of Korean Neurosurgical Society
/
v.64
no.4
/
pp.575-584
/
2021
Objective : Cervical expansive laminoplasty is an effective surgical method to address multilevel cervical spinal stenosis. During surgery, the spinous processes of C2 and C7 are usually preserved to keep the insertion points of the cervical musculature and nuchal ligament intact. In this regard, dome-like laminectomy (undercutting of C7 lamina) instead of laminoplasty is performed on C7 in selected cases. However, resection of the lamina can weaken the C7 lamina, and stress fractures may occur, but this complication has not been characterized in the literature. The objective of the present study was to investigate the incidence and risk factors for C7 laminar fracture after C7 dome-like laminectomy and its impact on clinical and radiological outcomes. Methods : Patients who underwent cervical open-door laminoplasty combined with C7 dome-like laminectomy (n=123) were classified according to the presence of C7 laminar fracture. Clinical parameters (neck/arm pain score and neck disability index) and radiologic parameters (C2-7 angle, C2-7 sagittal vertical axis, and C7-T1 angle) were compared between the groups preoperatively and at postoperatively at 3, 6, 12, and 24 months. Risk factors for complications were evaluated, and a formula estimating C7 fracture risk was suggested. Results : C7 lamina fracture occurred in 32/123 (26%) patients and occurred at the bilateral isthmus in 29 patients and at the spinolaminar junction in three patients. All fractures appeared on X-ray within 3 months postoperatively, but patients did not present any neurological deterioration. The fracture spontaneously healed in 27/32 (84%) patients at 1 year and in 29/32 (91%) at 2 years. During follow-up, clinical outcomes were not significantly different between the groups. However, patients with C7 fractures showed a more lordotic C2-7 angle and kyphotic C7-T1 angle than patients without C7 fractures. C7 fracture was significantly associated with the extent of bone removal. By incorporating significant factors, the probability of C7 laminar fracture could be assessed with the formula 'Risk score = 1.08 × depth (%) + 1.03 × length (%, of the posterior height of C7 vertebral body)', and a cut-off value of 167.9% demonstrated a sensitivity of 90.3% and a specificity of 65.1% (area under the curve, 0.81). Conclusion : C7 laminar fracture can occur after C7 dome-like laminectomy when a substantial amount of lamina is resected. Although C7 fractures may not cause deleterious clinical outcomes, they can lead to an unharmonized cervical curvature. The chance of C7 fracture should be discussed in the shared decision-making process.
Procalcitonin (PCT) can provide an experimental rationale and a diagnostic lead to distinguish between bacterial and viral infections. This study sought to investigate the clinical characteristics and prognosis of patients with high PCT levels, to improve clinical diagnosis, and to determine whether PCT levels were associated with the subsequent development of sepsis in the general population. This was a retrospective observational study conducted on outpatients (N=127) over a year. The general data and laboratory parameters studied were PCT, C-reactive protein (CRP), and complete blood count (CBC). The positive rates of CRP and white blood cells (WBCs) in the elevated PCT group were higher than those of the normal group (P<0.05); the specificity and sensitivity of the PCT levels were obviously higher than those of the CRP and WBC levels at diagnosis (P<0.05). The mean PCT levels in the low group were significantly higher than those in the high or moderate group (P<0.001). There was a significant positive correlation with CRP, total WBCs, and neutrophils (P<.001). The main finding of this study was the significant association between an elevated PCT level and CRP and WBC levels, signifying a high diagnostic value. This has important implications for the diagnosis of bacterial infections and therapeutic implications for the use of antibiotic treatment in specific patients.
Background: Pollination is an ecosystem service of utmost importance for agriculture. In this context, the study aimed to evaluate the pollination service of naturally occurring bees and after densification with colonies of stingless bees (Nannotrigona testceicornis and Tetragonisca angustula) in commercial strawberry plantation. The study was carried out in the four seasons of the year and under two experimental conditions: natural pollination (NP) and pollination under bee densification. The supply of flowers and bee density were estimated. For bee densification, four boxes of colonies of Iraí bees and four of Jataí bees were placed near the strawberry plantation. Five treatments were established for each condition, considering NP and pollination with bee densification on different days from flower anthesis, ranging from the 1st to the 5th day. Fruits were harvested, quantified, and submitted to evaluations to determine biometry, degree of deformity, and percentage of fertilized achenes. Results: There was a higher density in summer compared to other seasons in both conditions evaluated. The weight was greater (20.19 g) when fruits were pollinated on the first day after floral anthesis under pollination conditions with bee densification. It was observed that free pollination provided fruits with greater a greater of deformation of flowers on the fourth and fifth day after anthesis. However, when bee density became higher, the greatest degree of deformity was observed only in fifth-day fruits. The densification with stingless bees provided a 50% increase in the number of bees present on strawberry plants in summer and also a 15% increase in fruit weight and the occurrence of a lower degree of fruit deformity. Conclusions: Density with stingless bees provided a 50% increase in the number of bees present on strawberry plant in the summer, with an improvement in fruit quality and aggregate commercial value, providing a 15% increase in fruit weight and a lower degree of deformity under the conditions of densification of Iraí (N. testceicornis) and Jataí (T. angustula) bees. Under the evaluated conditions, the introduction of stingless bee boxes in the summer is recommended.
This experiment was conducted to clear up the cause of nutrient physiological disorder and to manage of optimum fertilization for leaf perilla crop under plastic film house condition in Geum-san area in 2009. A nutrient contents of leaf perilla were analyzed during the growing stages of crop from the first harvest to the last harvest stages, and the data were going to use as the nutritional factors for farms' activity in the fields. In survey of leaf perilla growing status at five farmers' fields, it was needed 30 days for growing of 5~10 stems, 60 days for 10~15 stems and 45 days for 15~20 stems of leaf perilla. Contents of nitrogen, phosphorus and potassium in leaf and stem had been kept on some high values in early stages, but it had been decreased in gradually in late stages of growing. Nitrogen and potassium contents were more changeable in leaf than stem, and phosphorus content was kept in more both of leaf and stem than those of nitrogen and potassium. The major macro-nutrient contents of perilla leaf on first of July were 6.34 in N, 0.54 in P, 2.48 in K, 1.98 in Ca and 0.62% in Mg, total uptake amounts of major three elements were $400kg\;ha^{-1}$ in N, $30kg\;ha^{-1}$ in P and $250kg\;ha^{-1}$ in K. Total yield of perilla leaf was $52,000kg\;ha^{-1}$, and total dry matter was $10,510kg\;ha^{-1}$ with $8,680kg\;ha^{-1}$ in leaf dry matter and $1,830kg\;ha^{-1}$ in stem dry matter.
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