• Title/Summary/Keyword: 증상조절

Search Result 473, Processing Time 0.026 seconds

The Efficacy of Added Montelukast in Persistent Asthmatics Who Were Not Completely Controlled on Inhaled Corticosteroids and Inhaled Long-acting β2-agonists (흡입 스테로이드와 지속성 베타2 항진제의 병용요법으로 완전히 조절되지 않는 천식 환자에서 추가 montelukast의 효과)

  • Choi, Jeong-Hee;Park, Hae-Sim;Lee, Kwan-Ho;Shim, Jae-Jeong;Uh, Soo-Taek;Lee, Sang-Pyo;Lee, Yong-Chul;Choi, Won-Il;Lee, Jae-Ho;Kim, Joo-In;Lee, Myung-Goo;Jung, Ki-Suck
    • Tuberculosis and Respiratory Diseases
    • /
    • v.63 no.4
    • /
    • pp.337-345
    • /
    • 2007
  • Backgrounds: Although glucocorticoids are one of the most potent anti-inflammatory agents, they have limited effect on cysteinyl leukotriene biosynthesis. In addition, the response to inhaled corticosteroids (ICS) and inhaled long-acting ${\beta}_2-agonists$ (LABA) combination therapy in moderate to severe persistent asthmatics varies. Additional therapy with leukotriene receptor antagonists (LTRA) in patients with moderate to severe asthma suboptimally controlled with ICS and LABA combination therapy would be complementary to asthma control. Methods: One hundred and ninety eight asthmatics entered a 2 month, open-label descriptive study. Patients suffering from persistent asthma and suboptimally controlled on a combination therapy of fluticasone/salmeterol or budesonide/formoterol were given montelukast 10 mg daily as an add-on therapy. The level of asthma control was assessed using the Asthma Control Questionnaire (ACQ) including $FEV_1%$ predicted at the baseline and after a 2-month treatment with montelukast. A global evaluation of the treatment was also made by the patients and physicians. Results: The mean ACQ score decreased significantly on montelukast ($11.5{\pm}5.4$ at baseline vs. $6.7{\pm}5.0$), with a significant improvement in all individual symptom scores (p<0.01). The $FEV_1%$ predicted values did not show any significant change. 59.9% of patients and 59.4% of physicians reported global improvement in their asthma (${\kappa}=0.85$). Conclusion: These results suggest that the addition of montelukast in patients with persistent asthma that is suboptimally contolled by combination therapy of ICS and LABA might confer complementary effects on asthma control.

A Case Report : Hypersexuality and Obsessive-Compulsive Behaviors in a Stroke Patient with the Left Mesial Frontal Cortex and Both Basal Ganglia Lesion (좌측 정중 전두엽과 양측 기저절 경색 후 과잉성욕 증상과 강박 증상을 보인 환자 1례)

  • Kim, Se Joo;Kim, Young Shin;Choi, Nak Kyung;Lee, Byung-Chul;Lee, Man Hong
    • Korean Journal of Biological Psychiatry
    • /
    • v.8 no.2
    • /
    • pp.271-275
    • /
    • 2001
  • Hyposexuality after stroke has been frequently observed, but hypersexuality as a sequela of stroke has not been commonly documented. We report a patient who exhibited hypersexuality and obsessive-compulsive behaviors after stroke in the region of the left mesial frontal cortex and both basal ganglia. At 2 months after stroke, he visited psychiatric unit due to these symptoms. His motor function was almost full recovered. He was treated with fluvoxamine and perphenazine. With two-month medication, his hypersexuality and obsessive-compulsive behavior disappeared. This case may indicate that basal ganglia-thalamocortical circuit plays an important role in the mediation of sexual behavior and obsessive-compulsive behavior. Since changes in sexual activity may not be spontaneously reported, a systemic inquiry into patient's sexual functioning after infarction in frontal lobe or basal ganglia is warranted.

  • PDF

당뇨병 돋보기 IV - 공복혈당 VS 식후혈당

  • Kim, Yeong-Geon
    • The Monthly Diabetes
    • /
    • s.212
    • /
    • pp.59-61
    • /
    • 2007
  • 당뇨병은 발병 후 거의 완치가 불가능한 질환으로 당뇨병의 치료는 고혈당에 의한 증상을 개선, 여러 가지 급성 및 만성합병증을 예방하는 데 그 목적이 있다. 당뇨병 조절 및 합병증 연구 등에서 엄격한 혈당조절을 통해 당뇨병의 만성합병증이 예방되거나 이미 발생된 합병증도 진행이 지연됨이 알려졌으며, 이에 따라 지속적인 혈당조절의 필요성이 더욱 중요해지고 있다. 지속적인 혈당조절을 위한 당뇨병관리의 기준이 되는 지표에는 여러 가지가 있지만 그 대표적인 것으로 공복혈당, 식전혈당. 식후 2시간 혈당, 당화혈색소 등이 있다. 환자들은 어떤 검사가 나의 혈당변화를 가장 정확히 나타내 주는지 궁금할 때가 있다. 또한 혈당검사를 하루 중 언제 측정해야 가장 정확하고, 얼마나 측정해야 하는지도 궁금하다. 여기서는 혈당조절의 지표가 되고 합병증 예방의 가장 기초가 되는 검사의 종류와 검사 시기, 빈도를 알아보고자 한다.

  • PDF

The Investigation of the Changes of Visual Problems in VDT Workers (VDT 작업 전·후 시기능 변화)

  • Gang, Myoung Jin;Choe, Oh Mok
    • Journal of Korean Ophthalmic Optics Society
    • /
    • v.7 no.2
    • /
    • pp.33-39
    • /
    • 2002
  • The purpose of this study is to evaluate the effects of continuing work on VDT(video display terminal). Therefore, we examined visual fatigue by a questionnaire and measured frequency of blinking, tear film break-up time(BUT), height of palpebral fissure, visual acuity, refraction with retinoscopy and accommodation before and after two hour long VDT work. For the ocular symptoms, the greatest number was tired eyes accounting for 34%. In the visual symptoms, blurred vision was the highest rate of 83% and in case of systemic symptoms, shoulder pain was 38% marked top ranking but other symptoms were also distributed similar rate. The frequency of blinking during VDT work decreased significantly comparing with the one at rest. The average frequency of blinking is 8/min during VDT work and 22/min at rest. The BUT measured immediately after VDT work decreased much more than in the resting state. The average BUT was 7sec immediately after VDT work and 12sec at rest. The height of palpebral fissure during VDT work increased significantly comparing with the value at rest. The average height of palpebral fissure was 7.69mm at rest and 9.04mm during VDT work. The average visual acuity decreased almost 9.5% from 0.63 to 0.57, but refraction with retinoscopy increased about 0.28D to the direction of myopic shift. The amplitude of accommodation decreased approximately 1.49D from 7.98D to 6.49D and this resulted from the prolongation of near point of accommodation. Near point of convergence also was prolongated from 9.45cm to 10.30cm after VDT work.

  • PDF

Growth, Deficiency Symptom and Tissue Nutrient Contents of Leaf Perilla (Perilla frutesens Britt) Influenced by Phosphorus Concentrations in Fertigation Solution (인산 시비농도가 잎들깨의 생육, 결핍증상 및 무기원소 함량에 미치는 영향)

  • Choi, Jong-Myung;Park, Jong-Yoon
    • Journal of Bio-Environment Control
    • /
    • v.16 no.4
    • /
    • pp.358-364
    • /
    • 2007
  • This study was carried out to investigate the effect of phosphorus concentrations in fertilizer solution on growth and development of nutrient deficiency in leaf perilla (Perilla frutesens). The nutrient concentrations in above ground plant tissue, petiole sap and soil solution of root media were also determined. Phosphorus deficiency resulted in a slow growth, lustreless leaves, suffused purple tining in older leaves and falling prematurely. Elevation of P concentrations in fertilizer solution increased the crop growth at 75 days after transplanting. The fresh weight in 0, 0.5 and 4.0 mM treatments were 0.48 g, 9.28 g, and 25.5 g, respectively, and dry weights were 0.06 g, 1.46 g and 4.13 g, respectively. The P concentrations in above ground plant tissue and petiole sap in 4.0 mM treatment were 1.78% and $2.040mg{\cdot}kg^{-1}$, respectively, at 75 days after transplanting. The soil P concentration in 4.0 mM treatment was $1.26mg{\cdot}kg^{-1}$ when it was determined by the 1:2 (sample:water) method. These results indicated that P concentrations higher than 0.3% in above ground plant tissue, $900mg{\cdot}kg^{-1}$ in petiole sap, and $0.57mg{\cdot}kg^{-1}$ in soil solution should be maintained to ensure proper growth of leaf perilla (Perilla frutesens).

Influence of Time of Hand-thining on Bitter Pit Incidence and Fruit Quality in 'Gamhong'/M.9 Apple Trees (인력 적과 시기가 '감홍'/M.9 사과나무의 고두증상 발생과 과실품질에 미치는 영향)

  • Kweon, Hun-Joong;Sagong, Dong-Hoon
    • Journal of Bio-Environment Control
    • /
    • v.30 no.4
    • /
    • pp.342-350
    • /
    • 2021
  • This study was conducted to investigate the effect of time of hand-thinning on vegetative growth, bitter pit incidence, fruit quality, and return bloom in 'Gamhong'/M.9 apple trees. The time of hand-thinning were 3, 5, 7 and 9 weeks after full bloom, and the primary thinning (leaving only the king fruit on cluster) and secondary thinning (adjusting crop load) were conducted at the same time. The time of hand-thinning was correlated to the vegetative growth, average fruit wight, yield, soluble solids content, bitter pit incidence, and return bloom, negatively, and to the yield of middle grade fruits (fruit weight was 250-299g and none pit on fruit surface) per tree, calcium contents of leaves, and fruit red color, positively. There was no significant effect of time of hand-thinning on fruit firmness, titratable acidity, and total incomes per tree. In conclusion, if the time of hand-thinning of 'Gamhong'/M.9 apple tree was completed at 9 weeks after full bloom, it could produce about 300g of high-quality fruit without bitter pit.

Effect of Humus and Micronutrient Content on Nutrient Absorb and Growth of Lettuce in Hydroponics (Humus 첨가와 미량원소 수준이 상추의 무기성분 흡수 및 생육에 미치는 영향)

  • 이수연;이성재;서명훈;이상우;심상연
    • Proceedings of the Korean Society for Bio-Environment Control Conference
    • /
    • 1998.10a
    • /
    • pp.88-91
    • /
    • 1998
  • 최근 급속한 산업발달로 인하여 환경오염이 날로 심화되고 있으며, 특히 재배적인 측면에서 토양이나 수질의 중금속오염 문제가 크게 우려되고 있다. 이 중 Cu와 Zn은 식물체의 탄수화물이나 단백질 합성 및 여러 가지 효소 작용에 필수적인 원소이지만 그 양이 과다하면 철 결핍 증상과 비슷한 잎의 황화(chlorosis)현상을 일으킨다. 한편, humus내에 함유되어 있는 humic acid는 양액에 첨가하면 다가의 양이온과 결합하여 난용성 염을 형성하고 (중략)

  • PDF

Establishment of Effective Cropping System to Reduce the Injuries by Continuous Cropping in Oriental Melon. (참외 연작장해 경감을 위한 작부체계)

  • 박동금;권준국;이재한;최영하;김회태;이순구;한상찬
    • Proceedings of the Korean Society for Bio-Environment Control Conference
    • /
    • 2003.04a
    • /
    • pp.24-29
    • /
    • 2003
  • 시설참외 주산지에서는 연작함으로써 뿌리혹선충을 비롯한 각종 토양전염성 병해충의 피해가 많아지고 염류가 집적되는 등 재배상 많은 문제점이 발생되고 있다. 특히 참외를 장기재배하는 농가가 많은 성주 등 경북지역에서는 뿌리혹선충으로 인해 생육이 불량하고, 과실의 착과율이 떨어지는 등 피해가 발생되면 영양결핍증상으로 오인, 계속 추비를 시용함으로써 토양의 염류집적을 가중시키고 있다. (중략)

  • PDF

특집 - 혈당조절이 잘 되지 않는 환자는 이유가 있다!

  • An, Ji-Hyeon
    • The Monthly Diabetes
    • /
    • s.217
    • /
    • pp.24-26
    • /
    • 2007
  • 당뇨병으로 인해 핏 속의 포도당인 혈당이 오랜 기간 높게 지속되면 우리 몸의 콩팥, 눈, 신경, 혈관은 손상을 입는다. 그 결과로 투석을 하게 되거나 시력을 잃을 수도 있다. 또한 신경 합병증으로 손과 발이 저리고 따끔거려 잠을 잘 이루지 못하거나 별안간 가슴에 심한 통증을 느끼기도 하고, 뇌졸중으로 쓰러질 수도 있다. 그런데, 더 무서운 것은 당뇨병이 심한 합병증을 일으킬 때까지 별다른 증상이 없기 때문에 대부분 대수롭지 않게 여기는 데에 있다. 당뇨병환자의 건강한 삶을 위해서 무엇보다 중요한 혈당조절, 왜 어려운지를 살펴보자.

  • PDF

소아당뇨병의 발병현황 및 원인과 증상

  • 김덕희
    • The Monthly Diabetes
    • /
    • s.129
    • /
    • pp.26-28
    • /
    • 2000
  • 소아 당뇨병은 일반적으로 인슐린의존성과 비의존성으로 구분된다. 인슐린의존성은 체내에서 혈당을 조절하는 인슐린이 분비되지 않아 인슐린주사에 의존해야 하는 경우, 비의존성은 비만 등으로 인슐린 작용이 감소하는 것으로 체중을 줄이거나 식이요법 등으로 조절이 가능하다. 19세미만 소아당뇨병의 90%는 인슐린의존성으로 바이러스 감염 후 자가항체가 생기거나 아황산가스 질소 등 공해물질에 의해 췌장이 파괴해 발생한다. 주로 10$\~$13세 또는 6$\~$8세에 많이 생기며, 한 번 발병하면 췌장이 재생되지 않아 평생 인슐린주사를 맞아야 한다. 우리나라는 인구 10만명당 1.2명으로 서구보다 발병률이 낮은 편이나 5년전에 비해 2배 가량 급증하고 있다.

  • PDF