• 제목/요약/키워드: systemic symptom

검색결과 185건 처리시간 0.03초

한방치료로 호전된 임신성 아토피 발진환자의 치험례 (A Case Report of Atopic Eruption of Pregnancy by Traditional Korean Medicine)

  • 송미화;이지현;최창민
    • 대한한방부인과학회지
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    • 제29권3호
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    • pp.91-99
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    • 2016
  • Objectives: The purpose of this study is to report the effect of Korean medical treatment on a patient with atopic eruption of pregnancyMethods: Patient who diagnosed by atopic eruption of pregnancy was enrolled in this study. She received Korean medicine therapies such as herbal medicine, acupuncture and external application. Sopungchungyoung-tangs and Seungmahwangryeon-tangs were prescribed according to the patient’s constitution which was pungyeol. The severity of symptom was evaluated by the severity SCORing for Atopic Dermatitis index (SCORAD index).Results: Subjective symptom such as Systemic pruritus, sleep loss, and Dermatitis lesions was reduced by Korean medicine therapies.Conclusions: The present study suggests that Korean medicine therapies have a effect on atopic eruption of pregnancy.

근로자의 직무스트레스가 구강 건조감, 턱관절 증상 및 구강증상에 미치는 영향 (The Influence of occupational stress on dry mouth, temporomandibular disorder and oral symptoms on workers)

  • 홍민희
    • 한국치위생학회지
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    • 제13권1호
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    • pp.136-145
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    • 2013
  • Objectives : The goal of this study is to investigate how occupational stress affects temporomandibular disorders (TMD), dry mouth and oral symptoms. Methods : For this study, workers from 5 areas were selected and the survey was carried out from June 1st to 30th, 2012. A total of 410 questionnaires were analyzed. Results : The analysis of the structural model shows that occupational stress has no significant influence on temporomandibular disorder and dry mouth symptoms, but does affect other oral symptoms. The results also reveal that dry mouth symptom and temporomandibular disorder both have a significant effect on oral symptoms. Conclusions : Oral symptoms and job stress appeared to directly and indirectly influence the psychological and social factors of job stress. A systemic investigation on the improvement of oral health in workers is urgently required.

청색증을 동반한 다발성 폐동정맥루 치험 1례 (Multiple Pulmonary Arteriovenous Fistula combined with Cyanosis Report of one Case)

  • 조규도
    • Journal of Chest Surgery
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    • 제18권4호
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    • pp.806-811
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    • 1985
  • Pulmonary arteriovenous fistula is a rare congenital vascular malformation in the lung, resulting from erroneous capillary development, with incomplete formation or disintegration of the vascular septa that would normally divide the primitive connection between the venous and arterial plexus. The pathogenesis of its symptom is that unoxygenated and desaturated arterial blood enter into the pulmonary venous system directly. Recently we have experienced a case of multiple pulmonary arteriovenous fistula in a 15 year old male patient, who presented the symptom of cyanosis and dyspnea on exertion. The operation revealed well circumscribed and multilobulated aneurysmal lesion in left lower lobe with its subpleural and posterolateral basal location, and another aneurysmal lesion in inferior lingular segment of left lung. There was no abnormal connection between the fistula and systemic circulation. The left lower lobectomy was performed along with local extirpation of the inferior lingular segment of left lung. Both lesions showed angiomatous dilatation of the various sized vessels embedded in the parenchyma microscopically. Postoperative clinical course disclosed much improvement in symptoms and in the value of blood gas analysis. The patient was discharged without any complication.

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Molecular Analysis of Geminigirus ORFs on Symptom Development

  • Park, Eulyong;Hyunsik Hwang;Lee, Sukchan
    • The Plant Pathology Journal
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    • 제15권1호
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    • pp.38-43
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    • 1999
  • Mutants of the monopartite geminivirus beet curly top virus (BCTV) have been screened for infectivity, systemic movement, replication and symptom development in Arabidopsis thaliana. As known by coding for coat protein, R1 mutant was not infectious and did not move systemically. R2, R3 and L2/L3 mutants produced milder symptoms compared to wild type BCTV but the infectivity was reduced by 40% to 60%. R2 ORF is thought to be involved in the regulation of ssDNA and dsDNA accumulation because only dsDNA was accumulated on R2-infected organs. Disruption of ORF L4 resulted in reduced infections, but the viral DNA was accumulated in infected organs from roots to shoot tips as much as wild type BCTV on Sei-O. In addition, 4 mutants did not produce callus-like tissues on infected organs, suggesting that L4 ORF may play a role in the induction of host cell divisions by virus infection. This result was supported by the patterns of mRNA expression and promoter analysis of the cell cycle marker gene, cycl, on Arabidopsis. cycl mRNA was accumulated on symptomatic organs by wild type BCTV infections but not by L4 mutant. We conclude that the BCTV L4 ORF is essential for symptom developments, specially callus-like formation on infected organs.

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A Subpopulation of RNA3 of Cucumber mosaic virus Quasispecies

  • Park, Seung-Kook;Park, Sun-Hee;Yoon, Ju-Yeon;Park, Jang-Kyung;Ryu, Ki-Hyun
    • The Plant Pathology Journal
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    • 제19권4호
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    • pp.210-216
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    • 2003
  • This study examined the existence of genetically diverse population of Cucumber mosaic virus (CMV), known as quasispecies, from lily, Nicotiana benthamiana and from purified virions. Based on the conserved sequences of CMV lily isolates in intergenic region (IR) on RNA3, the genetic variation of IR from three different sources was investigated by a specific restriction endonuclease hydrolysis of amplified reverse transcription-polymerase chain reaction (RT-PCR) products using virus-specific primers, and was compared with IR sequences. The IR nucleotide sequences of CMV lily isolates were highly conserved, however, quasispecies was detected from all three sources in low level, containing sub-populations of RNA3. These subpopulations of RNA3 were inoculated onto zucchini squash by in vitro transcripts from corresponding full-length cDNA clones together with Eny RNA1 and 2 transcripts. The systemic symptom of zucchini plants infected by these quasispecies was chlorotic spotting, which was milder than severe mosaic and stunt symptom caused by Eny-CMV. The severity of symptom was correlated with RNA accumulation of viruses. These results suggest that the genome of CMV lily isolates consists of quasispecies populations.

만성 위염에 대한 이중탕(理中湯)의 효과 : 체계적 문헌 고찰 및 메타 분석 (The Effect of Yijung-tang for Chronic Gastritis: A Systemic Review and Meta-Analysis)

  • 김예슬;이영서;김경민;진명호
    • 대한한방내과학회지
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    • 제44권4호
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    • pp.675-702
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    • 2023
  • Objective: This study assessed the effectiveness of using Yijung-tang to treat chronic gastritis through a systematic review and meta-analysis of randomized controlled trials (RCTs). Methods: The search was conducted using keywords such as "gastritis", "Lizhong", "Yijung", and "Chronic gastritis" on July 31, 2023. A meta-analysis was conducted according to outcome measurements, such as total effective rate (TER), Traditional chinese medicine symptom score (TSS), gastric hormones, and symptom relief time, using the Review Manager website. Results: A total of 11 RCT studies were selected. The treatment group (Yijung-tang-gagam or Yijung-tang-gagam+Western medicine) showed significant improvement effects in terms of TER, TSS, serum gastrointestinal hormones (motilin (MTL), gastrin (GAS), and somatostatin (SS)), and symptom relief time compared to the control group (Western medicine). TER-RR : 1.20, 95% CI : 1.11 to 1.30, P≤0.00001, RR : 1.21, 95% CI : 1.14 to 1.28, P≤0.00001; MTL-MD : 35.99, 95% CI : 30.79 to 41.20, P≤0.00001); GAS-MD : 103.33, 95% CI : 97.62 to 109.04, P≤0.00001); SS : MD : -37.19, 95% CI : -41.75 to -32.64, P≤0.00001; symptom relief time (nausea)-MD : -1.96, 95% CI : -2.47 to -1.45, P≤0.00001; symptom relief time (colic)-MD : -1.75, 95% CI : -2.31 to -1.18, P≤0.00001. Conclusion: This study suggests that Yijung-tang is effective against chronic gastritis. However, the number of studies was insufficient, and the diagnosis and evaluation criteria were not standardized. Furthermore, because of the low quality of the included studies, more clinical studies need to be conducted to increase the possibility of clinical use.

한방건강검진 프로그램의 내용과 참가자들의 만족도에 관한 연구 (The Study on the Contents and Satisfaction of Oriental Medicine Examination Program)

  • 이은경;장두섭;송용선;이기남
    • 대한예방한의학회지
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    • 제6권1호
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    • pp.51-95
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    • 2002
  • 1. As a point at issue of occidental medicine examination, followings have been indicated, 1) Occidental medical examination is performed by mainly test and instrument and therefore, role of doctors could be excluded and it could be diagnosed only for target disease and 2) in Korea, it could not be conducted in public medical system and therefore improvement effect of public health promotion could not be made due to increase of total medical expenses and infirmity of post management. These points are substantial limit of paradigm resided in occidental medicine and also problem caused by unique characteristics of medical system of Korea. In Korea, result of occidental medical examination show increased health risk from aged thirties and major diagnosed diseases are circulatory disease or chronic disease such as hepatic, hyperlipemic, hypertensional disease and diabetes, etc. Accounting that those chronic disease make a role as major public health risk, it is difficult that medical examination by only occidental medicine make effect on public health promotion. 2. Characteristics of oriental medicine examination could be summarized as diagnosis (information acquisition based on the facts) and demonstration (speculation based on acquired information) and in addition, quadruple diagnosis, as a medical examination method, include test as well as basic examination. Accounting on oriental medical examination, principally it is performed by independent herbalist and therefore, herbalist could acquire systemic result during first medical examination. Based on the theory of inner-outer examination, oriental medical examination has a principle of universe theory, systemic analysis of quadruple diagnosis, demonstration & reasoning. In addition, root of oriental medical examination could be found in pre-disease theory, a principal theory of oriental medicine. Pre-disease service could prove the advantage of oriental medicine in medical examination activities and therefore, it is needed that content of oriental medical examination should be actualized in current medical system. 3. In this study, oriental medical examination program, comprised of pulse-diagnosis, contrast muscular taking and medical consultation of herbalist is progressed communally with occidental medical examination. As pre-examination, questionary was given of general characteristics, health promoting life style, physical constitution and subjective symptom of musculoskeletal system. In addition, post-examination notification was given to subjects about health promoting control, physical constitution regimen and management of musculoskeletal system. During this study program, verification was conducted for input of acquired information and difference of each information after analysis and in addition, performed was analysis of factor influencing health promoting life style and musculoskeletal subjective symptom and evaluation of relationship of physical constitution and health promoting life study. In addition, it was verified of difference between musculoskeletal subjective symptom and result of muscle contrast picture evaluation. 4. Evaluation of oriental medical examination model is divided into 2 categories of oriental medical examination-consultation and result evaluation -post management. Oriental medical examination-consultation demands establishment of examination system, standardization of examination and establishment of examination form and in addition, it should be admitted as enlarged examination assists systemic quadruple diagnosis of herbalist not a key of oriental medical examination. In addition, information acquisition for research purpose should be performed according to the systemic research plan based on the separation of questionary for examination purpose and research purpose. For evaluation of the result, it was concluded that needed are result evaluation meets oriental medical system and post-notification system, informing health management information, based on examination result. 5. Accounting on satisfaction for oriental medical examination model, affirmative reply was much higher (66%) than negative (8.64%). Satisfaction of each area was in order of consultation of herbalist, systemic muscle contrast taking, pulse examination, post-notification and questionary fill-up and dissatisfaction was in order of post-notification, questionary fill-up, consultation of herbalist, systemic muscle contrast taking and pulse measurement. Satisfaction for collaborative examination of occidental and oriental medicine was over 60% and over 75% hope oriental examination would be included in later medical examination program. Based on this result, collaborative examination including occidental and oriental medicine could increase satisfaction of subjects for medical examination program.

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신생아 집중치료실 입원아에 있어서 전신성 칸디다증의 임상적 특징 : 전신성 세균 감염증과 비교 (A Clinical Characteristics of Systemic Candidiasis in Neonatal Intensive Care Unit : Comparison with Systemic Bacterial Infection)

  • 임정화;박경필;김진경;김행미
    • Clinical and Experimental Pediatrics
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    • 제45권7호
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    • pp.847-854
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    • 2002
  • 목 적: 신생아 집중치료실에 장기간 입원 중인 환아는 입원중 전신성 감염을 일으킬 위험이 있다. 이미 항생제를 투여 받고 있는 환아에서 전신 감염 증상이 발현하면, 전신성 칸디다증은 장기간의 amphotericin B의 투여가 필요하며 세균 감염증은 감수성 있는 항생제로의 교체를 필요로 한다. 본 연구에서는 미숙아인 저출생 체중아를 대상으로 전신성 칸디다증의 임상증상과 증상 발현시의 검사 소견을 전신성 세균 감염증과 비교함으로써 이들 소견의 조기 감별 진단 상의의를 조사하였다. 방 법 : 1997년 1월부터 2001년 6월까지 경북대학교병원 신생아 집중치료실에 입원했던 미숙아 중 저출생 체중아 중에서 배양검사로 확인된 전신성 칸디다증 20례와 전신성 세균 감염증 23례를 대상으로 하여 이들의 의무 기록을 후향적으로 조사하였다. 결 과: 전신성 칸디다증 환아(이하 칸디다군)의 출생시 체중은 $1,290{\pm}290g$으로 전신성 세균 감염증 환아(이하 세균군)의 $1,530{\pm}430g$보다 유의하게 작았으며, 총 정맥 영양, 항생제 투여, 중심 카테테르, 기관 삽관, $H_2$ 차단제 사용의 빈도가 더 높았다. 임상 양상에 있어서는 서맥 동반 무호흡 및 호흡 곤란이 두 군의 주된 발현시 증상으로, 발현 빈도는 칸디다군(90%)에서 세균군(61%)에 비해 높았다. 증상 발현시 시행한 검사 소견에서 혈소판 감소증과 백혈구 감소증이 동반된 경우가 칸디다군 7례(35%), 세균군 2례(9%)로 두 군 사이에 유의한 차이를 보였다(P=0.03). 균은 대부분 혈액에서 배양되었으며(칸디다군 19례, 세균군 19례), 그 외에 요, 중심 카테테르, 뇌척수액 등에서 배양되었다. 감염균은 칸디다군은 Candida albicans가 15례, 세균군은 Klebsiella pneumoniae와 Enterobacter cloacae가 각각 5례로 가장 빈번하였다. 결 론 : 신생아 집중치료실에 장기 입원 중 전신 감염증 증상을 보이는 환아에서 호흡기 증상과 함께 검사상 혈소판 감소 단독 또는 혈소판 감소증과 백혈구 감소증이 동반된 경우에는 전신성 칸디다 감염증 가능성이 높을 것으로 사료된다.

피로와 가슴답답함(胸悶)을 주증으로 하는 전신성 홍반성 루푸스 환자에 대한 한의치료 1례 (A Case Report: Korean Medicine Treatment for a Systemic Lupus Erythematosus Patient Persistently Complaining of Fatigue and Chest Tightness)

  • 김민주
    • 대한한방내과학회지
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    • 제44권2호
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    • pp.117-128
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    • 2023
  • Objective: This study reported the improved symptoms of integrative Korean medicine-based treatment in a patient diagnosed with Systemic Lupus Erythematosus (SLE) who persistently complained of fatigue and chest tightness. Methods: A 51-year-old female SLE patient persistently complaining of fatigue and chest tightness underwent an 18-day treatment with Kracie Shihogayonggolmoryo-tang, Cheongpajeon-H, Gwanjeol-go, acupuncture, pharmacopuncture, cupping therapy, deep tissue meridian hot pack therapy, manual therapy, Interferential Current Therapy, and Extracorporeal Shock Wave Therapy. The Brief Fatigue Inventory (BFI) and Numeric Rating Scale (NRS) for each symptom were measured on admission, at one week, two weeks of hospitalization, and upon discharge. Clinical outcomes were assessed using these two figures. Results: After treatment, there was a reduction in the BFI score (7 to 3). The NRS score of chest tightness with hot flashes decreased from 8 to 5, neck pain lessened from 7 to 5, pain in both ankles diminished from 6 to 4, the cold hypersensitivity of both feet fell from 6 to 4, and heartburn decreased from 5 to 2. In order, the biggest clinical improvement was to heartburn, fatigue, and chest tightness with hot flashes. Conclusion: This case study shows that integrative Korean medicine-based treatment can improve symptoms of a Systemic Lupus Erythematosus patient persistently complaining of fatigue and chest tightness with hot flashes and suggests that Shihogayonggolmoryo-tang may be an effective option for managing and treating SLE patients.