• 제목/요약/키워드: Abdominal discomfort

검색결과 195건 처리시간 0.02초

1965년(年)에 실시(實施)한 Diethylcarbamazine의 말레이사상충(絲狀蟲)에 대한 구충효과(驅蟲效果)의 평가(評價) (Effect of Diethylcarbamazine against Brugia malayi Infection on Cheju Island, evaluated in 1965)

  • 백영한
    • Parasites, Hosts and Diseases
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    • 제24권2호
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    • pp.201-204
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    • 1986
  • A study on the effect of diethylcarbamazine (DEC) (Supatonin) against Brugia malayi infection was conducted on Cheju Island in September 1965. A total of 182 persons living in a village of Aiwol Myun, Bukcheju-Gun was examined for microfilaraemia. Microscopic examination of smears of $20{\mu}l$ of blood revealed a microfilaria positivity rate of 28.5%. At the end of September 1965, 34 confirmed microfilaria positive cases were treated with DEC at a daily dosage of 5mg/kg body weight. A full course of 12 days of drug administration divided of two rounds for 6 days each was used. The first round of treatment was given under a strict supervision of the author in order to observe carefully side-effects of the drug. The second round of treatment was given in January 1966. The microfilaria density in $20{\mu}l$ of blood of those who received the drug was checked four times; before the treatment, during the first round of the treatment, 2 weeks and 4 months after the completion of the first round. The pre-treatment mean microfilaria density of 104.6 diminished to nearly zero (only two cases with one microfilaria respectively) 2 weeks after the first round and again slightly rose up to 0.5 four months after the first round. These results indicate that DEC (Supatonin) is highly effective to eliminate the microfilaria of B. malayi. However, severe side-effects, e.g. fever (average $38.6^{\circ}C$, maximum $39.7^{\circ}C$), headache, backache and seldom abdominal discomfort etc. were observed. There were two cases of withdrawal from the scheme due to refusal.

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Ectopic Human Fasciola hepatica Infection by an Adult Worm in the Mesocolon

  • Kim, Ah Jin;Choi, Chang Hwan;Choi, Sun Keun;Shin, Yong Woon;Park, Yun-Kyu;Kim, Lucia;Choi, Suk Jin;Han, Jee Young;Kim, Joon Mee;Chu, Young Chae;Park, In Suh
    • Parasites, Hosts and Diseases
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    • 제53권6호
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    • pp.725-730
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    • 2015
  • We report here an ectopic case of Fasciola hepatica infection confirmed by recovery of an adult worm in the mesocolon. A 56-year-old female was admitted to our hospital with discomfort and pain in the left lower quadrant of the abdomen. Abdominal CT showed 3 abscesses in the left upper quadrant, mesentery, and pelvic cavity. On surgical exploration, abscess pockets were found in the mesocolon of the sigmoid colon and transverse colon. A leaf-like worm found in the abscess pocket of the mesocolon of the left colon was diagnosed as an adult fluke of F. hepatica. Histologically, numerous eggs of F. hepatica were noted with acute and chronic granulomatous inflammations in the subserosa and pericolic adipose tissues. Conclusively, a rare case of ectopic fascioliasis has been confirmed in this study by the adult worm recovery of F. hepatica in the mesocolon.

만성 췌장염 환자 치험 1례 (A Case Report of Chronic Pancreatitis)

  • 송창훈;이슬희;오성원;정종진;김수연;이상민;조성언;선승호;황진우;백태현
    • 대한한방내과학회지
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    • 제28권2호
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    • pp.391-398
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    • 2007
  • Objectives and Methods : Chronic pancreatitis is an inflammative disease characterized by both persistent and irreversible progression of pancreatic lesions that accompanies complications and pain which hinders everyday life activities. As the alcohol consuming population increases, chronic pancreatitis is increasing consequently. We retrospectively analyzed the medical record of a chronic pancreatitis patient who had been treated with oriental herbal medicine, acupuncture and moxibustion for 40 days. He complained of anorexia, fatigue, indigestion, weight loss, constipation, abdominal discomfort and pain. We prescribed him Daekumeumja, Bojungikgi-tang and other oriental herbal medicines in order to cure these symptoms. Results and Conclusion : For 40 days he was treated with oriental medicine and the symptoms mostly disappeared. When it comes to the therapeutic effects, it could be suggested that oriental medicine has significant effects on improving symptoms and qualities of lives.

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연극성 성격장애를 지닌 신체화장애 환자 치험 1례 -최면치료, EFT 중심으로- (A Case Report of a Somatization Disorder Patient with Histrionic Personality Disorder)

  • 김수정;유춘길;조아람;서주희;김지나;성우용;박장호
    • 동의신경정신과학회지
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    • 제23권2호
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    • pp.85-98
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    • 2012
  • Objectives : The histrionic personality disorder(HPD) is characterized by a pattern of excessive emotion and attention-seeking behavior, including a seductive behavior. It is known that HPD is closely related to a somatization disorder. The somatization disorder is characterized with various physical symptoms that have no pathologic manifestation. This report is on a case of 55 years old woman with HPD, who has been suffering from various physical symptoms that are coincided with diagnostic criteria for somatization disorder by DSM-IV. Methods : The patient was treated with oriental medical treatments (acupuncture, moxibustion, cupping therapy, and herb-medication), hypnotic therapy, and emotional freedom techniques. The effects of treatment were measured by VAS. Results : Chest pain was improved by hypnotic therapy and oriental medical treatments. But the patient's pantalgia and abdominal discomfort were controlled effectively by emotional freedom techniques. Conclusions : This result suggests that EFT might be effective for the defensive and dependent somatization disorder patient with HPD.

과체(瓜蔕)를 이용한 토법(吐法)의 안전성에 대한 후향적 연구 : 임상반응, 간기능, 신기능을 중심으로 한 평가 (Retrospective Study of Safety of Tu Fa (吐法) by Melonis Calyx: Analysis of Clinical Features and Liver and Kidney Functions)

  • 이승욱;설미현;나현영;유정화;안영민;이병철;안세영
    • 대한한방내과학회지
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    • 제36권4호
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    • pp.498-506
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    • 2015
  • Objectives This study was conducted to report the safety of vomit-inducing treatment (Tu Fa, 吐法) by Melonis Calyx, particularly with respect to clinical features and liver and kidney functions.Methods Patients treated with Melonis Calyx powder between September 2013 and September 2014 were assessed retrospectively.Results Less than 3 grams of Melonis Calyx powder can induce mild abdominal discomfort and produce no harmful effects on liver and kidney functions.Conclusions Through this study, a vomit-inducing treatment using less than 3 grams of Melonis Calyx can be considered safe enough to be used in clinics, with a cautious approach with respect to dehydration.

한국의 장흡충에 관한 연구 XX. Echinochasmus japonicus의 인체간염 4예 (Studies on Intestinal Trematodes in Korea XX. Four Cases of Natural Human Infection by Echinochasmus japonicus)

  • 서병설;이순상
    • Parasites, Hosts and Diseases
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    • 제23권2호
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    • pp.214-220
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    • 1985
  • 극구흡충류(echinostomes)의 하나인 Echinochassnus iaponicus 성충이 1984년 4월 인체로부터 회수되어 이 홉충에 의한 자연 인체감염이 처음으로 증명되었다. 환자는 요꼬가와흡충 유행지로 알려진 절남 탐진강 유역 강진군에 거주하는 33~55세 남자 3명과 62세 여자 1명, 도합 4명으로 이들을 10mg/kg praziquantel로 치료하고 하제를 사용한 후 설사변에 배출된 모든 흡충 및 조충을 수집하였다. 충체 수집결과 많은 수의 요꼬가와흡충이 배출된 것이 확인되었으나 이들과 함께 1~4 종류의 다른 흡충 또는 조충이 발견되었고 특히 E. japonicus 1~43마리 (총 54마리)가 검출되었다. 환자들은 이들 장내 윤충류의 복합감염으로 소화불량, 복부불쾌감 등 위장관 증상을 호소하였고 강 유역에서 각종 잉어숴 어류나 은어를 잡아 생식해온 경력이 있었다. 이들 극구흠충은 길이 0.66~0.99mm이었고, 두관 주위의 두극이 총 담개로 구흡반 배측에시 연결이 끊어져 있었고, 자궁내 충란수가 2개 이내인 점, 충란의 크기가 $76~87{\mu\textrm{m}}$(길이)인 점 등으로 Echinochasmus iaponicus Tanabe, 1926으로 동정되었다.

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자가미세유화시스템을 이용한 매스틱의 헬리코박터파일로리 대한 In vitro 및 In vivo 활성 연구 (In vitro and In vivo Activities Studies of Chois Mastic Using Self-microemulsifying Drug Delivery System (SMEDDS) against Helicobactor pylori)

  • 김수지;정상영;길영식;신병철;황성주;조선행
    • 약학회지
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    • 제55권1호
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    • pp.1-10
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    • 2011
  • Mastic is a bleed resin formed in pistacia lentiscus tree extract form the anacatdiaceae family. Mastic is used as a food ingredient in the Mediteraanean resin, and has been used by local inhabitants as a traditional medicine for relief of upper abdominal discomfort, dyspepsiaand peptic ulcer. Clinically, mastic has been effective in the treatment of benign gastric and duodenal, ulcers, giving symptomatic relief and endoscopically proven healing. In this study, to enhance activiteies of poorly water soluble Mastic with oils, surfactants and cosurfactants and then the mixure was microemulsified in aqueous media under condition of gentle agitation and digestive motility that would be encountered in the gastrointestinal tract. Formulation development and screening were based on phase diagrams and characteristics of resultant microemulsion. For optimum mastic formulation, microemulsions with various ratio (w/w%) of mastics, oils, surfactants and cosurfactants were prepared and their solubility was evaluated by monitoring particles size in their buffer through visual asessment and electrophoretic light scattering spectrophotomerter (ELS). In vitro activity of self microemulsified mastic (SME mastic) was determined by minimum ingibition concentration (MIC) test against a panel of Helicobacter pylori (H. pylori) clinical strains. Additionally, in vivo activity of SME masitc was investigated us mouse infected by CH275 of H. pylori. The mean diameter of SME mastic was less then 100 nm in water and SME mastic was showed similar antiboisis effect compared to tometronidazole, clarithromycin and omeproazole. Consequently, SME mastic would be effective system to exterminate H. pylori. If mastic were dose with combined treatment, mastic might augur well for effect of H. pylori eradication as good remedy.

과민성 장 증후군의 특성과 병태생리 및 위험요인에 대한 고찰 (The Review on Characteristics, Pathophysiology and Risk Factors of Irritable Bowel Syndrome)

  • 박미정;최명애;김금순;홍해숙;이경숙;정재심;채영란;안경주;신기수;최정안
    • 재활간호학회지
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    • 제8권2호
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    • pp.129-138
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    • 2005
  • Purpose: Irritable bowel syndrome (IBS) is frequently yet little understood disease. Review was performed to promote understanding on the characteristics, pathophysiology, and risk factors of IBS. Content: IBS is characterized by abdominal discomfort associated with pain and altered bowel function; structural and biochemical abnormalities are absent. Generally IBS is more prevalent in women and people with higher educational and social background, but there are some controversies. IBS is diagnosed by the Rome II or Manning criteria after excluding organic gastrointestinal diseases. The pathophysioloy is explained by abnormal control mechanism of central and enteric nervous system. Mucosal immunity, secretions, and neurotransmitter are also associated with the hypersensitivity and motility change of bowel function. Stress is known as a major triggering factor and contributed to symptoms. Other risk factors are genetic elements, childhood experiences, inflammation, anxiety, depression, diet, and sleep disorders.

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지방기질유래 줄기세포의 골 분화 시 성장인자의 효과 (THE EFFECT OF GROWTH FACTORS ON OSTEOGENIC DIFFERENTIATION OF ADIPOSE TISSUE-DERIVED STROMAL CELLS)

  • 김욱규;최연식;정진섭
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • 제32권4호
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    • pp.327-333
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    • 2006
  • Future cell-based therapies such as tissue engineering will benefit from a source of autogenous pluripotent stem cells. There are embryonic stem cells (ESC) and autologous adult stem cells, two general types of stem cells potentilally useful for these applications. But practical use of ESC is limited due to potential problems of cell regulation and ethical considerations. To get bone marrow stem cells is relatively burden to patients because of pain, anesthesia requirement. The ideal stem cells are required of such as the following advantages: easy to obtain, minimal patient discomfort and a capability of yielding enough cell numbers. Adipose autologus tissue taken from intraoral fatty pad or abdomen may represent such a source. Our study designed to demonstrate the ability of human adipose tissue-derived stromal cells (hATSC) from human abdominal adipose tissue diffentiating into osteocyte and adipocyte under culture in vitro conditions. As a result of experiment, we identified stromal cell derived adipose tissue has the multilineage potentiality under appropriate culture conditions. And the adipose stromal cells expressed several mesenchymal stem cell related antigen (CD29, CD44) reactions. Secondary, we compared the culture results of a group of hATSC stimulated with TGF-${\beta}$1, bFGF with a hATSC group without growth factors to confirm whether cytokines have a important role of the proliferation in osteogenic differentiation. The role of cytokines such as TGF-${\beta}$1, bFGF increased hATSC's osteogenic differentiation especially when TGF-${\beta}$1 and bFGF were used together. These results suggest that adipose stromal cells with growth factors could be efficiently available for cell-based bone regeneration.

노인환자의 수술후 회복패턴에 관한 연구 (Post-Surgical Recovery Patterns of the Elderly)

  • 변영순;정은주
    • 기본간호학회지
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    • 제6권1호
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    • pp.51-63
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    • 1999
  • This study examined two differences in physical and psychological recovery patterns after surgery in the elderly. The sample consisted of 40 patients with abdominal surgery In five large hospitals in Seoul. The data for this study were collected from Apr. 20 to Nov. 26 by structured questionnaire, chart review and call. Physical recovery was assessed by ADL, a Cantril Ladder Scale and a Visual Analogue Scale. Psychological recovery was measured by the Geriatric depression Scale and a Cantril Ladder Scale. The data were analyzed using frequency, percentage, Pearson Correlation Coefficient, and MANOVA by SPSS/WIN. The result are as follows : 1. Physical recovery indicated significant improvement over time with the exception of ADL(F=.812 p=.449). Perceived physical health were significantly improved(F=6.189 p=.004). Pain & discomfort was significantly decreased(F=3.927 p=.025). 2. Perceived psychological health was significantly improved over time(F=20.648 p=.000), but depression showed no statistical significance improvement over time(F=1.393 p=.256). 3. There were no significant effects of sex, age, complication and combined chronic diseases on physical and psychological recovery patterns. 4. There were significant correlations between operation time and pain(r=-.331 p=.020), recovery time and perceived psychological health(r=-.320 p=.024), recovery time and pain(r=.404 p=.005). There were significant correlations between admision period and ADL(r=-.418 p=.004), perceived physical health(r=-.354 p=.014), depression(r=.280 p=.042), and perceived psychological health(r=-.447 p=.002). BRAS showed significant correlation with ADL(r=-.458 p=.002). 5. With an increase in the degree of perceived health(physical and psychological), ADL was significantly increased. With an increased in the degree of depression and pain, ADL and perceived health(physical and psychological) were significantly decreased. In conclusion, the elderly patient recovered significantly over time with the exception of ADL and depression. It these we suggested to considered when planning care for elderly patients.

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