• 제목/요약/키워드: topical knowledge

검색결과 23건 처리시간 0.026초

Disseminated Histiocytic Sarcoma with Ureteric Involvement in a Jindo Dog

  • Cho, Hee-Soo;Cheong, Jong-Tae;Park, Hyun-Jung;Kim, Jae-Hoon;Jung, Ji-Youl;Yun, Youngmin;Song, Woo-Jin
    • 한국임상수의학회지
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    • 제38권5호
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    • pp.249-253
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    • 2021
  • We describe the case of a Jindo dog that presented with a 2-month history of an abscess-like mass on the skin of the left hip. The patient was initially diagnosed with a suspected insect bite and was treated with a topical dressing. After observing no improvements, surgical debridement was done to remove the abscess. Nine days after surgery, the patient started showing severe anorexia, vomiting, lethargy, and oliguria. Azotemia was detected, and the patient was diagnosed with acute kidney injury. Ultrasonography depicted an abdominal mass (4.6 × 7.5 cm) in the right ureter, and severe hydronephrosis in the right kidney. The patient was euthanatized. Results of the necropsy, histopathologic examination, and immunohistochemistry for tumor cells, confirmed that the patient had developed hydronephrosis and disseminated histiocytic sarcoma which had metastasized to the lungs. To the best of our knowledge, this is the first report of acute renal failure produced by ureter invasion and urinary tract obstruction resulting from the abdominal mass of disseminated histiocytic sarcoma in dogs.

A Suspected Case of Hyperkeratotic Head and Neck Malassezia Dermatosis Presenting with Acanthosis Nigricans

  • An, Min Kyun;Yoon, Ji Ha;Cho, Eun Byul;Park, Eun Joo;Kim, Kwang Ho
    • Journal of Mycology and Infection
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    • 제23권4호
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    • pp.111-114
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    • 2018
  • A 19-year-old woman presented with an asymptomatic cutaneous discoloration on her nape. Dermatological examination revealed localized dark brown to dark pigmented velvety macules and patches. She denied a past medical history, except for a 7-kg weight gain over a 6-months period. Histopathologically, the specimen showed hyperkeratosis, epidermal hyperplasia, mild acanthosis, and papillomatosis. In addition, keratin material and fungal spore were noted between the papilloma ridges. Periodic acid-Schiff special stain showed a positive result for the fungal spore in the horny layer. She was treated with a daily oral dose of terbinafine and topical flutrimazole. After 12 weeks of treatment, she is currently under observation without pigmentation and adverse effect. We considered the initial diagnosis as acanthosis nigricans because of weight gain, similar clinical features, and histological findings. However, the final diagnosis was hyperkeratotic head and neck Malassezia dermatosis considering the presence of yeast and the dramatic improvement after antifungal treatment. To the best of our knowledge, hyperkeratotic head and neck Malassezia dermatosis is not well characterized in the literature. It is an unusual variant of pityriasis versicolor. The skin lesion appears brown to dark, scaly, and hyperkeratotic macules and patches located on the face and neck. Here, we reported an unusual case of hyperkeratotic head and neck Malassezia dermatosis.

장미색비강진에 대한 동서의학적 고찰 (The Study on the Pityriasis Rosea in Oriental-Western Medicine)

  • 이규영
    • 한방안이비인후피부과학회지
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    • 제35권4호
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    • pp.106-122
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    • 2022
  • Objectives : In this study, we aimed to analyze the latest knowledge of pityriasis rosea(PR) through oriental-western medical review on PR. Methods : We searched Pubmed, CNKI, and OASIS to select papers related to the cause, mechanism, diagnosis, classification, treatment, and herbal treatment of PR. Results : The results are as follows. 1. Although the exact cause of PR is not known, it has recently been found that reactivation of latent human herpesvirus-6 and human herpesvirus-7 infection is a possible etiology. Most patients require emollients, antihistamines, topical steroids, and macrolides. Acyclovir, and narrow-band UVB therapy are also used. 2. The cause and mechanism of PR in Chinese and Korean medicine can be mainly summarized as wind-heat, blood heat, and blood deficiency and wind-dryness. Most of the herbal medicine used have the effects of clearing heat, cooling the blood, detoxifying, dispelling wind, relieving itching, nourishing blood, and moistening dryness. Conclusions : In Chinese and Korean medicine, it is necessary to organize the representative prescriptions according to pattern identification, and it is also necessary to study the atypical types of PR and its treatment methods. It is thought that research on oriental and western combination therapy should be continuously conducted, and efforts to develop Korean medicine formulations are needed to revitalize clinical research in Korea.

Meek Micrografting Technique for Reconstruction of Extensive Necrotizing Fasciitis of the Anterior Abdomen and Bilateral Femoral Region: A Case Report

  • Jyi Cheng Ng;Ahmad Ibrahim Ahmad Zaidi;Jun De Lee;Mohd Faisal Jabar
    • Archives of Plastic Surgery
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    • 제50권6호
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    • pp.610-614
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    • 2023
  • Necrotizing fasciitis is an uncommon yet fatal soft tissue infection. Current recommended treatment includes antibiotics with repeat surgical exploration and wound debridement followed by reconstruction. In burn patients, the Meek micrograft has demonstrated a higher true expansion ratio, faster reepithelialization rate, more resilient toward infection, and reduced risk of graft failure as compared with meshed graft. To our best knowledge, the use of Meek micrografting technique in reconstruction of postdebridement wounds of necrotizing fasciitis has not been reported. Hereby, we present a case of a 57-year-old gentleman who was referred to us for wound reconstruction after surgical debridement of Fournier's gangrene and extensive necrotizing fasciitis involving the anterior abdomen and bilateral femoral region. Meek micrografting technique was used to reconstruct the anterior abdomen as the wound bed was large. Although the graft was complicated with a small area of localized infection, it did not spread across the entire graft and was successfully treated with topical antibiotics and regular wound dressing. In our case, wound reconstruction using Meek micrografting technique in a patient with extensive necrotizing fasciitis was successful and showed positive outcome. Therefore, we suggest further studies to be conducted to investigate the applications and outcomes of the Meek micrografting technique, especially in patients with extensive wound bed and limited donor site availability.

양대구강병 관리에 대한 간호과 학생의 구강보건 지식 및 태도에 관한 연구 (A Study on Nursing Students' Dental-Health Knowledge on and Attitude to the Major Oral Diseases Management)

  • 최부근;황윤숙
    • 치위생과학회지
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    • 제1권1호
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    • pp.21-27
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    • 2001
  • 저자는 졸업 후 초등학교 양호실에서 학교보건의 유일한 전임보건요원으로 아동들의 구강보건교육과 관리 업무를 수행하게 될 간호학과 학생들을 대상으로 우리 국민의 양대 구강병인 치아우식증과 치주병에 대한 구강보건 지식 및 태도를 평가하여 향후 학교구강보건교육의 방향을 제공하고자 경기도 일원의 간호과 학생들을 대상으로 양대구강병에 대한 지식과 태도를 분석한 결과 다음과 같은 결론을 얻었다. 1. 조사대상자들은 뜨겁고 찬 음식에 자각증상을 가지고 있으면서도 자신의 구강이 건강한 편이거나(36.8%), 보통(36.3%)이라고 인지하고 있었다. 2. 치아우식증의 원인을 불량한 구강위생관리(90.4%)라고 응답하였고 이중 94.1%가 잇솔질이 치아우식증 예방에 효과적이라고 응답하였으며, 잇솔의 모양이 직선이어야 한다는 것에는 40.2% 만이 옳다고 응답하였다. 3. 치아우식증 예방법을 위해 불소 이용이라고 응답한 조사 대상자들은, 불소 이용법 효과에 대한 평균 순위를 불소 첨가 수돗물 섭취(2.00), 불소 용액 양치(2.40), 전문가 불소도포(2.70), 불소 치약 사용(3.60), 불소 복용(4.30) 순으로 효과적이라고 응답하였다. 4. 치아우식증 예방법에 대한 지시기은 정기적 검진과 잇솔질이라고 응답하였으나, 구강건강을 위한 행위로는 잇솔질만 하고 있어 지식과 태도의 차이를 보였다. 5. 자신의 구강건강을 위해 잇솔질(94.3%)을 시행하고 있었으며, 아침 식사 후(71.9%)와 잠자기 전(65.8%)에 실시하고 점심 식사 후는 40.3% 만이 실시하고 있었으며, 1일 2회(35.7%)와 3회(37.6%)의 잇솔질을 실시하고 있었다. 6. 잇솔질(84.7%)이 치주질환 예방법이라고 응답한 조사대상자들 중 잇솔질은 치주병에 예방효과가 있는가에 대해 교직과목 이수자의 7.1%, 미이수자의 17.0%가 아니라고 응답하여 두 그룹간에 차이가 보였다. 이상의 결과들로 살펴볼 때 아동들의 구강보건관리를 책임지기에는 간호과 학생들은 치학적 지식이 부족하였고, 특히 지식과 태도에서의 차이가 있는 것으로 조사되었다. 그러므로 날로 악화되는 아동 구강건강을 증진하여 건강을 보장하기 위해 현재 시범 실시중인 학교 구강보건실 운영을 활성화하고, 구강보건전문인력으로 교육받은 치과 위생사를 아동들의 구강보건관리를 위해 적극 활용하여야 한다고 사료된다.

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방사선 피부염 치료법에 대한 문헌고찰 (A Literature Review of Management on Radiodermatitis)

  • 권미혜;윤지현;김은혜;이지영;윤성우
    • 대한암한의학회지
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    • 제25권1호
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    • pp.11-24
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    • 2020
  • Objective : Radiodermatitis is a common sequelae in 95% of patients receiving radiation therapy, which is important to be well managed as it can affect the patient's quality of life as well as the cancer treatment schedule. The aim of this study is to review and summarize the interventions available for the treatment of acute radiodermatitis, including traditional Korean medicine, and to propose treatment algorithms for clinicians. Methods : To collect studies about managements for radiodermatitis, domestic and foreign database were used such as Korean journal of traditional knowledge portal (KTKP), Korean studies information service system (KISS), national discovery or science leaders (NDSL), and oriental medicine advance searching integrated system (OASIS), Pubmed, Google scholar and Scopus. Results : Thirty-two studies were selected. There were nine studies on usual care and dressing, eleven studies on chemical agents, two studies on biological preparations, and ten studies on herbal medicines. Conclusion : Hygienic options and dressings have proved to be useful in the management of radiodermatitis. Chemical agents such as corticosteroid, statin, and topical antibiotic agent have proved to alleviate symptoms and severity, regenerate damaged skin, and prevent secondary infection. In biological preparations, EGF (epidermal growth factor) and GM-CSF (granulocyte-macrophage colony-stimulating factor) could be used to protect skin and prevent radiodermatitis. For herbal medicines, Calendula, catechin, β-sitosterol, and Jaungo (紫雲膏) may be effective for symptoms including pain, itching, and burning sensation induced by radiation therapy. Because of some research with conflicting results, further studies are needed to propose an algorithm for more optimal treatments.

A novel and safe small molecule enhances hair follicle regeneration by facilitating metabolic reprogramming

  • Son, Myung Jin;Jeong, Jae Kap;Kwon, Youjeong;Ryu, Jae-Sung;Mun, Seon Ju;Kim, Hye Jin;Kim, Sung-wuk;Yoo, Sanghee;Kook, Jiae;Lee, Hongbum;Kim, Janghwan;Chung, Kyung-Sook
    • Experimental and Molecular Medicine
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    • 제50권12호
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    • pp.5.1-5.15
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    • 2018
  • Targeting hair follicle regeneration has been investigated for the treatment of hair loss, and fundamental studies investigating stem cells and their niche have been described. However, knowledge of stem cell metabolism and the specific regulation of bioenergetics during the hair regeneration process is currently insufficient. Here, we report the hair regrowth-promoting effect of a newly synthesized novel small molecule, IM176OUT05 (IM), which activates stem cell metabolism. IM facilitated stemness induction and maintenance during an induced pluripotent stem cell generation process. IM treatment mildly inhibited mitochondrial oxidative phosphorylation and concurrently increased glycolysis, which accelerated stemness induction during the early phase of reprogramming. More importantly, the topical application of IM accelerated hair follicle regeneration by stimulating the progression of the hair follicle cycle to the anagen phase and increased the hair follicle number in mice. Furthermore, the stem cell population with a glycolytic metabotype appeared slightly earlier in the IM-treated mice. Stem cell and niche signaling involved in the hair regeneration process was also activated by the IM treatment during the early phase of hair follicle regeneration. Overall, these results show that the novel small molecule IM promotes tissue regeneration, specifically in hair regrowth, by restructuring the metabolic configuration of stem cells.

소아 백반증의 한약 치료에 대한 최신 임상 연구 동향 - 중국 무작위 대조군 연구를 중심으로 - (Rview of Recent Clinical Research for Herbal Medicine Treatment on Vitiligo in Children - Focused on Chinese Randomized Controlled Trials -)

  • 장진우;최일신;박범찬;김기봉;천진홍
    • 대한한방소아과학회지
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    • 제35권4호
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    • pp.141-155
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    • 2021
  • Objective The purpose of this study is to gather information from clinical studies conducted in China and analyze the effects of herbal medicine treatment for childhood vitiligo. Methods The randomized controlled trials (RCTs) with herbal medicine treatment for childhood vitiligo from the Chinese Academic Journal (CAJ) from China National Knowledge Infrastructure (CNKI) were searched. Then, each study was analyzed by demographics, disease durations, interventions, treatment periods, outcomes, adverse events, and compositions of the herbal medicine used. Result A total of 6 RCTs were included. All the trials except for one used a combination of Chinese herbal medicine with Western medicine as their treatment groups. The total efficacy rate was used to measure the effectiveness, and the treatment groups reported a significantly higher total efficacy rate compared to the control groups in all studies. In one study, a control group treated with compound glycyrrhizin capsule and topical compound kaliziran tincture combination treatment was compared with a treatment group which used the same treatment that the control group received in addition to oral herbal medicine. This study also showed higher total effectiveness in the treatment group than the control group. Conclusions In pediatric vitiligo, a combination of herbal medicine treatment rather than Western medical treatment alone can improve symptoms. In addition, it was suggested that the therapeutic effect can be enhanced when oral herbal medicine is used in combination with other herbal medicine treatments.

문헌정보학 분야 4개 학술지의 연구영역 중첩분석 (Overlap Analysis of Research Areas in Four Library and Information Science Journals)

  • 정유경
    • 정보관리학회지
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    • 제40권4호
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    • pp.259-277
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    • 2023
  • 본 연구는 국내 문헌정보학 분야의 4대 학술지를 대상으로 구조적토픽모델과 문헌 네트워크 분석을 사용하여 연구영역을 분석하고, 각 학술지의 공통 및 특화된 연구영역을 식별하여 문헌정보학 분야의 학술 지형을 파악하는 것을 목적으로 한다. 연구결과, 문헌정보학 분야의 학술지들이 각기 다른 연구영역에 중점을 두고 있는 것으로 나타났는데, 한국문헌정보학회지는 문헌정보학 분야의 전반적인 연구영역을 가장 포괄적으로 다루고 있으며, 한국비블리아학회지 또한 유사한 연구경향을 보였으나 도서관경영 및 도서관프로그램과 관련된 주제 선호도가 높았다. 한국도서관·정보학회지는 문헌정보학 전반의 연구주제 및 타 학술지에 비해 학교도서관이나 독서교육과 관련된 분야에 특화된 주제들을 많이 다루고 있으며, 정보관리학회지는 정보기술 및 정보학 전반에 대한 주제적 비중이 높아 다른 세 학술지와 비교했을 때 주제적 차별성이 있었다. 본 연구는 학술지별 주요 연구영역을 파악함으로써 연구자들의 논문투고와 학술지의 주제 특성화 및 다양화를 위한 기초자료로 활용될 수 있을 것이다.

Digital Tools for Optimizing the Educational Process of a Modern University under Quarantine Restrictions

  • Nadiia A. Bachynska;Oksana Z. Klymenko;Tetiana V. Novalska;Halyna V. Salata;Vladyslav V. Kasian;Maryna M. Tsilyna
    • International Journal of Computer Science & Network Security
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    • 제24권1호
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    • pp.133-139
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    • 2024
  • The educational situation, which resulted from the announced self-isolation regime, intensified the forced decisions on the organization of the distance educational process. The study is topical because of the provision of distance learning based on the experience of Kyiv National University of Culture and Arts. The study was conducted in three stages. Systemic, socio-communicative, competence approaches, sociological methods (questionnaires and interviews) were chosen as methodological tools of the research. The results of a survey of teachers and entrants to higher education institutions on the topic "Using social networks and digital platforms for online classes under the conditions of quarantine restrictions" allowed to scientifically substantiate the need for deeper knowledge of such tools as Google Meet (79%), Zoom (13.78%) and Google Classroom (11.62%), which are preferred by entrants. Almost a third of entrants (34.26%) noted the lack of scientific and methodological support for learning the subjects. The study showed high efficiency of messengers in distance education. The study found that in the process of organizing communication in the student-teacher system, it is necessary to take into account the priority of Telegram on the basis of which it is necessary to implement a chatbot for convenient and effective exchange of information about the educational process. Further research should focus on the effectiveness of the use of Telegram. The effectiveness of using chatbots should also be considered. Chatbots can be used to automate routine components of the learning process.