• Title/Summary/Keyword: 이명장애

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Effects of Lycii fructus extract on Experimentally Induced Liver Damage and Alloxan Diabetes in Rabbits (구기자(枸杞子) 추출물(抽出物)이 가토(家兎)의 실험적(實驗的) 간장장애(肝臟障碍) 및 alloxan당뇨병(糖尿病)에 미치는 영향(影響))

  • Sheo, Hwa-Joong;Jun, Sung-Joo;Lee, Myung-Yul
    • Journal of the Korean Society of Food Science and Nutrition
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    • v.15 no.2
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    • pp.136-143
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    • 1986
  • These studies were carried out to investigate effects of Lycii fructus extract on experimentally CC14-induced liver damage and alloxan-induced diabetes in rabbits and acute toxicity using mice. $LD_{50}(mg/kg)$ of Lycii fructus extract(L.F.E.) was 12.17g/kg by intraperitoneal administration in mice. L.F.E. showed more rapid recuperation compared to the control group in CC14-intoxicated rabbits and 800mg/kg was the most effective. Especially GPT activity and total bilirubin level showed an apparant decreasing effect within 6 days and 8 days, respectively in 800mg/kg. But any differences were not observed in alkaline phosphatase and total cholesterol between sample and control group. Large amount administered group exhibited more excellent hypoglycemic effect in alloxan-induced diabetes of rabbits, that is, it was significant to the control group after 4 days and adjacent to the normal level on 12th day. And GPT activity was gradually decreased and showed clear decreasing effect after 6 days. It is suggested that L.F.E. can be administered not only as therapeutic agents (such as liver tonics or antidiabetetics) but also a natural food to shorten the recovery time of hepatic function in liver diseases and decrease the abnormally elevated blood glucose such as Diabetes Mellitus.

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Supplemental Value of the Wrist-Worn Actigraphy in Diagnosing the Obstructive Sleep Apnea Syndrome (폐쇄성 수면무호흡증 진단에서 손목부착형 활동기록기의 보조적 진단가치)

  • Im, Mee-Hyang;Shin, Hong-Beom;Lee, Yu-Jin;Lee, Seung-Hi;Won, Chang-Yeon;Lee, Myung-Hee;Lee, Soo-Young;Jeong, Do-Un
    • Sleep Medicine and Psychophysiology
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    • v.12 no.1
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    • pp.32-38
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    • 2005
  • Objectives: Obstructive sleep apnea syndrome (OSAS) has drawn increasing attention as medical community has become to be aware of its co-morbidities and complications, especially cardiovascular complications and excessive daytime sleepiness with accident proneness. As of now, polysomnography is the standard tool to diagnose sleep apnea and estimate the treatment validity. However, its being rather expensive and inconvenient, alternate diagnostic tools have been proposed including wrist actigraphy. So far, actigraphies have been adopted usefully to field-survey sleep apnea prevalence. In this study, we attempted in a sleep laboratory setting to assess the supplemental value of actigraphy in diagnosing OSAS. Methods: This study was done at the Division of Sleep Studies, the Seoul National University Hospital. Thirty-seven clinically suspected cases of OSAS underwent the one-night polysomnography, simultaneously wearing an actigraphy on non-dominant wrist. We analyzed the data of 27 polysomnographically-proven OSAS patients (male:female 20: 7;age $47.6{\pm}12.9$ years old;age range 23 to 72 years) with no other sleep disorders. We calculated RDI (respiratory disturbance index) from the polysomnography data and FI (fragmentation index) from the actigraphy data. Pearson correlation was calculated in order to compare FI with RDI and to evaluate the supplemental diagnostic value of the actigraphy. Results: Mean total sleep time on polysomnography was $401.4{\pm}57.8\;min$ (range of 274.0 to 514.1 min). Mean RDI was $21.7{\pm}20.4/hour$. Mean FI was $21.9{\pm}13.0/hour$. RDI and FI showed significant correlation (r=0.55, p<0.01). Conclusions: Wrist actigraphy in OSAS patients generates a comparable outcome to polysomnography, in measuring the nocturnal sleep fragmentation. The actigraphy could be used supplementally in inpatients, outpatients, and field survey subjects, if polysomnography is unavailable or impossible. In follow-ups related with nasal CPAP (continuous positive airway pressure), upper airway surgery, and oral appliance in OSAS patients, the actigraphy might play a more dominant role in the future.

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Predictive Values of Gated Myocardial SPECT for Wall Motion Improvement After Bypass Surgery (게이트 심근 SPECT의 관동맥우회로술후 심근 벽운동 호전 예측능)

  • Lee, Dong-Soo;Yoon, Seok-Nam;Song, Ho-Cheon;Kim, Ki-Bong;Chung, June-Key;Lee, Myoung-Mook;Lee, Myung-Chul;Koh, Chang-Soon
    • The Korean Journal of Nuclear Medicine
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    • v.31 no.1
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    • pp.43-49
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    • 1997
  • We studied to investigate the predictive values of gated SPECT for the improvement of wall motion after bypass surgery. As we compared postoperative SPECT with preoperative ones, we defined viability as wall motion improvement. We peformed rest T1-201/s1ress Tc-99m-MIBI gated SPECT in 25 patients before and 3 months after bypass surgery. Myocardial wall motion was graded as normal, hypokinesia, akinesia, and dyskinesia by pair-wise visual analysis of gated pre and postoperative SPECT's on the same monitor screen. Myocardial wall thickening was determined good or poor Among 92 segments with wall motion abnormalities before operation, 69 (75%) improved and 23 did not. Before operation, we could find segments with good systolic thickening in 64 segments among total 92. Thickening of the remaining 28 was poor. Wall motion improved postoperatively in 45 segments (70%) among 64 with good thickening. Twenty four(86%) among 28 segments with poor thickening had also improved. We grouped segments into mild(hypokinetic) and severe(akinetic/dyskinetic) ones. Among 33 segments with severe motion abnormalities, 14 had good thickening and 19 did not. Nine(60%) improved out of 14 segments having severe abnormality with good thickening However, 16(84%) segments out of 19 haying severe abnormality with poor thickening also improved. Neither degree of perfusion decrease nor severity of wall motion abnormalities could explain the high rate of false negatives. In conclusion, as we defined viability as wall motion improvement by comparing pre and postoperative SPECT, systolic thickening observed by gated Tc-99m-MIBI SPECT in myocardial segments with wall motion abnormalities predicted wall motion improvement after bypass surgery. However, poor thickening could not be referred as evidence of nonviable myocardium both in mild and severe contractile dysfunction, so that we might need stimulation study such as dobutamine echocardiography or dobutamine gated SPECT.

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Overcoming Langage Barrier by Korean Nurses in U.S. Hospital Settings (한국간호사들이 경험한 미국병원에서의 언어장애 극복 과정)

  • 이명선
    • Journal of Korean Academy of Nursing
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    • v.26 no.2
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    • pp.483-496
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    • 1996
  • The purpose of this study was to describe how Korean nurses overcome the language barrier while working in the U.S. hospital settings. Twelve Korean nurses living in New York metropolitan area were asked open-ended, descriptive questions to collect the data. The interviews were done in Korean. All interviews were audiotaped under the permission of the participants and were transcribed verbatim. The data were analyzed using grounded theory analysis. The research process consisted of two phases. In the first phase 8 Korean nurses were interviewed and analyzed. In the second phase, further data were collected to verify categories and working hypotheses that were emerged from the first phase. The results of this study show that all Korean nurses experienced severe psychological stress such as confusion, anxiety, frustration, loss of self-confidence, embarrassment, guilt, depression, anger, and fear. Among the mode of communication such as listening, speaking, leading, and writing, they had the most difficulty in speaking. Speaking ability was especially important for them because of the emphasis of individualism and self-defense in the U.S. Among the verbal communication modes, non-face-to-face communications such as phone conversation and body language were the most difficu1t for them to overcome. It took at least 2 years for the participants to initially overcome the language barrier in U.S. hospitals. After 2-5 years they began to feel comfortable even in non-face-to-face communication. They could actively search for the better place to work after 5 years. They finally felt comfortable in English and in their job almost after 10 years. The factors that influenced the English improvement were ‘the years of clinical experience in Korea’, ‘the decade they came to the U.S.’ ‘coming to U.S. alone or with other Korean nurses’, ‘racial homogeneity or heterogeneity of the working unit’, and ‘the degree of social support’. The strategies Korean nurses used to overcome the language barrier included depending on the written communication, using ‘nunchi’, working and studying hard, and establishing good interpersonal relationships with co-workers. They also employed assertive behavior of the U.S., such as using more explicit verbal language and employing smiles and eye contact with others during the conversation. The results of the study may help Korean nurses and nursing students who try to work in U.S. hospital settings by understanding problems other Korean nurses faced, factors that influenced their English improvement, and strategies they used. They may also help U.S. nurses and administrators in developing and implementing efficient programs for newly employed Korean nurses by understanding major problems and feelings the Korean nurses experienced and strategies they used to overcome the language barriers.

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Usefulness of $^{99m}Tc$-HMPAO SPECT in Patients with Subarachnoid Hemorrhage due to Ruptured Intracranial Aneurysm (뇌동맥류파열에 의한 지주막하출혈 환자에서 $^{99m}Tc$-HMPAO SPECT 검사의 유용성)

  • Choi, C.W.;Lee, K.H.;Kim, J.H.;Kwark, C.;Lee, D.S.;Chung, J.K.;Lee, M.C.;Han, D.H.;Koh, C.S.
    • The Korean Journal of Nuclear Medicine
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    • v.27 no.2
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    • pp.175-182
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    • 1993
  • We evaluated the usefulness of $^{99m}Tc$-HMPAO SPECT in 21 Patients with subarachnoid hemorrhage due to ruptured intracranial aneurysm and in 3 patients with unruptured intracranial aneurysm. SPECT study could detect the bilaterally hypoperfused cases in 10 patients (48%), but CT/MRI showed the bilateral abnormalities in only 3 patients (14%). The number of abnormal lesions were 56 in SPECT and 25 in CT/MRI. The lesions found in SPECT were well correlated with the neurological signs of the patients such as aphasia or hemiplegia. SPECT study during Matas test was helpful in evaluating the risk for carotid artery occlusion therapy. We thought that $^{99m}Tc$-HMPAO brain SPECT is helpful in evaluating the functional changes in patients with subarachnoid hemorrhage.

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The Comparison of Influence of Difficulties in Nasal Breathing on Dentition between Different Facial Types (비호흡 장애가 치열에 미치는 영향에 관한 안모 형태별 비교 연구)

  • Lee, Myeong-Jin;Lee, Chang-Kon;Kim, Jong-Sup;Park, Jin-Ho;Chin, Byung-Rho;Lee, Hee-Kyung
    • Journal of Yeungnam Medical Science
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    • v.10 no.1
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    • pp.37-47
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    • 1993
  • It is commonly assumed that nasorespiratory function can exert a dramatic effect upon the development of the dentofacial complex. Specially, it has been stated that chronic nasal obstruction leads to mouth breathing, which causes altered tongue and mandibular positions. If this occurs during a period of active growth, the outcome is development of the "adenoid facies". Such patients characteristically manifest a vertically long lower third facial height, narrow alar bases, lip incompetence, a long and narrow maxillary arch and a greater than normal mandibular plane angle. But several authors have reported that so-called adenoid facies is not always associated with adenoids and mouth breathing, and that a particular type of dentition is not always found in mouth breathers with or without adenoids. Some authors have believed adenoids lead to mouth breathing in cases with particular facial characteristics and types of dentition. We assumed that the ability to adapt to individual's neuromuscular complex is various. So, we compared the difference of influence of mouth breathing between childrens who have different facial types. This study included 60 patients and they were divided into three groups by Rickett's facial type. Their dentition and tongue position were compared. The results are as follows. 1. There is a significant difference in arch width of upper molars between different facial types. Especially dolichofacial type patients have narrowest arch width. 2. There is a significant difference in tongue position between different facial types. Especially dolichofacial type patients have lowest positioned tongue.

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A Study on the Supply Status and Methods of Improvement for Social Welfare Facilities -Focused on the Senior·Child·Disabled Welfare Facilities- (사회복지시설 공급현황 및 개선방안에 관한 연구 -노인·아동·장애인 복지시설을 중심으로-)

  • Choi, Byung-so;Lee, Myeong-Hun
    • The Journal of the Korea Contents Association
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    • v.21 no.8
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    • pp.337-355
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    • 2021
  • Demographic changes such as an aging and low fertility, as well as changes in industrial structure and residential environment, revealed the limitations of urban development policies. Accordingly, the government is making efforts to ensure a prosperous life for the people by including the plan to expand the living SOC in the national urban regeneration policy. The main priority tasks of the Living SOC include the establishment of welfare infrastructure for children and the vulnerable. This means that interest in welfare is increasing recently. In this study, we analyzed the supply status of welfare facilities for the senior, child and the disabled in 17 cities and provinces nationwide using LQ (Location Quotient). After analyzing the causes of the imbalance in the supply of welfare facilities by region, the improvement plan was suggested. Each welfare facility was highly localized by region, especially the accessibility gap between cities and provinces is very large. Welfare finances were similar in most cities and provinces, with the exception of some cities and provinces. In the case of cities with very high living standards, sufficient facilities were not provided. Improvement methods are as follows; Combination of welfare facilities that can maximize space efficiency, Securing appropriate welfare finance in consideration of living standards by city and province, Differentiation of supply method considering demand and user types for welfare facilities.

DENTAL MANAGEMENT OF A PATIENT WITH PRADER-WILLI SYNDROME : A CASE REPORT (Prader-Willi syndrome 환자의 치과 치료 : 증례보고)

  • Lee, Myeong-Yeon;Jung, Younwook;Kim, Seong-Oh;Choi, Hyung-Jun;Son, Heung-Kyu;Lee, Hyo-Seol
    • The Journal of Korea Assosiation for Disability and Oral Health
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    • v.10 no.1
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    • pp.26-30
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    • 2014
  • Prader-Willi syndrome (PWS) is a rare neurodevelopmental disease caused by abnormality of chromosome 15q11-13. The estimated prevalence of PWS is 1/10,000-30,000. Most common features of this disease are feeding problems characterized by poor sucking habit related with neonatal or infantile hypotonia and obesity due to early childhood hyperphagia involved with lack of satiety. In the orodental findings, enamel hypoplasia, rampant caries, delayed eruption, poor oral hygiene, hypodontia, supernumerary teeth, increased tooth wear, decreased salivary flow and change in saliva composition were reported. This case report describes the dental treatment of 3-year-9-months-old male patient with PWS. Periodic check-ups and conservative treatments were followed, however, rapid dental caries progression caused by estimating hyposalivation was observed. Because of lack of patient cooperation, dental procedures were performed under general anesthesia.

Convergence Factors of affecting Depression of Elderly Women in Rural Area (농촌지역 여성노인의 우울에 미치는 융복합적 영향요인)

  • Lee, Myung-Suk;Han, Mira
    • Journal of Digital Convergence
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    • v.16 no.5
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    • pp.341-349
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    • 2018
  • This study was done to identify the significant convergence factors of affecting depression of elderly women in rural area. A total of 161 elderly women aged 65 and over were collected and data were analyzed using multiple logistic regression with SPSS/WIN 21.0. The result indicated that 42.9% of participants were depressed. In logistic regression, significant factors of depression were age(p<.001, OR=1.146), economic status (p=.004, OR=.123), number of family member living together (p=.013, OR=.020), number of social activities (p=.012, OR=.436), number of disease diagnosed (p<.001, OR=3.847), visual function (p=.023, OR=3.867), family support (p=.048, OR=.707), which accounted for 68.6% of the variance. The results of this study can contribute to develop various convergence strategies to prevent the prevalence of depression of elderly women in rural area. Further studies are needed to confirm the level of contribution of visual disability to depression in rural older women.

Studies on the Incidence of Reproductive Disorder in Hanwoo (한우 암소의 번식장애에 관한 조사 연구)

  • 백광수;성환후;고응규;이명식;류일선;강희설;조원모;신기준
    • Korean Journal of Animal Reproduction
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    • v.21 no.4
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    • pp.411-421
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    • 1997
  • A survey was carried out to investigate the symptoms and occurance of reproductive disorder in Hanwoo(Korean native cattle). Data of the reproductive disorder of 561 heads from 28 farm households have been collected from Dec. '95 to Nov. '96 and analyzed calving no, nutritional body condition and housing forms. The results obtained are summarized as follows: 1. The incidence of reproductive disorder was 20.1% and the major common symptoms were repeat breeding(39.8%), anestrous(31.0%), nymphomania(10.6%) and subestrous(8.9%). 2. The incidence of reproductive disorder according to the calving no., that of heifer, calved one to two calving no. and over three calving no. were 20.6%, 13.9% and 34.5%, respectively. 3. Reproductive disorder incidence according to the nutritional body condition was 18.3%, 14.6% and 48.7% at body condition score(BCS) less than 2.0, 2.5 to 3.0 and over than 3.5, respectively. At BCS over 3.0, the symptoms of common reproductive disorder were repeat breeding(17.6%), anestrous(12.2%), nymphomania(10.8%) and subestrous(2.7%). 4. The incidence of reproductive disorder according to the housing form 15.8% and 34.6% for group feeding in open house and individual stanchion feeding in stall, respectively. In group feeding, reproductive disorder incidence of cows raised in space of more than 9.9$m^2$ per head was 14.1%, while that of cows raised less than 9.9$m^2$ per head was 18.2%. And incidence of repeat breeding, aneestrous and subestrous was more frequent in individual stanchion feeding than group feeding.

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