• Title/Summary/Keyword: Clinical implication

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Detection of Serum IgE Specific to Mite Allergens by Immuno-PCR

  • Lee, Kyung-Woo;Hur, Byung-Ung;Chua, Kaw-Yan;Kuo, I-Chun;Song, Suk-Yoon;Cha, Sang-Hoon
    • IMMUNE NETWORK
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    • v.8 no.3
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    • pp.82-89
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    • 2008
  • Background: Although a skin test is the primary option for detecting allergen-specific IgE in clinics, the serum IgE immunoassay is also important because it allows for the diagnosis of allergy without any accompanying adverse effect on the patient. However, the low detection limit of IgE levels by immunoassay may restrict the use of the method in some occasions, and improving its sensitivity would thus have a significant implication in allergy-immunology clinics. Methods: In this study, we attempted to detect specific serum IgE by using immuno-polymerase chain reaction (IPCR) which combines the antigen-antibody specificity of enzyme-linked immunosorbent assays (ELISAs) with the amplification power of PCR. Results: Our results demonstrated that Blo t5-specific serum IgE can be detected by IPCR with a 100-fold higher sensitivity than ELISA, and cross-reactivity of serum IgE to other mite allergens is able to be analyzed by using only $0.3{\mu}l$ of serum sample. Use of real-time IPCR seemed to permit more convenient determination of specific serum IgE as well. Conclusion: We believe that IPCR can serve as a valuable tool in determining specific serum IgE, especially when the amount of serum sample is limited.

Visceral Leishmaniasis in Rural Areas of Alborz Province of Iran and Implication to Health Policy

  • Heidari, Aliehsan;Mohebali, Mehdi;Kabir, Kourosh;Barati, Hojatallah;Soultani, Yousef;Keshavarz, Hossein;Akhoundi, Behnaz;Hajjaran, Homa;Reisi, Hosein
    • Parasites, Hosts and Diseases
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    • v.53 no.4
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    • pp.379-383
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    • 2015
  • Visceral leishmaniasis (VL) or kala-azar mainly affects children in endemic areas. This study was conducted to determine the seroprevalence of VL using direct agglutination test (DAT) in children living in rural districts of Alborz Province located 30 km from Tehran capital city of Iran. Multi-stage cluster random sampling was applied. Blood samples were randomly collected from 1,007 children under 10 years of age in the clusters. A total of 37 (3.7%) of the studied population showed anti-Leishmania infantum antibodies with titers of ${\geq}1:800$. There was a significant association between positive sera and various parts of the rural areas of Alborz Province (P<0.002). Two children with anti-Leishmania infantum antibodies titers of ${\geq}1:3,200$ indicated kala-azar clinical features and treated with anti-leishmaniasis drugs in pediatric hospital. The findings of this study indicated that Leishmania infection is prevalent in rural areas of Alborz Province. Therefore, it is necessary to increase the awareness and alertness among physicians and public health managers, particularly in high-risk rural areas of the province in Iran.

Electrophysiological and Behavioral Changes by Phosphodiesterase 4 Inhibitor in a Rat Model of Alcoholic Neuropathy

  • Han, Kyoung-Hee;Kim, Sung-Hoon;Jeong, In-Cheol;Lee, Young-Hee;Chang, Sei-Jin;Park, Bit-Na-Ri;Kim, Seok-Won
    • Journal of Korean Neurosurgical Society
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    • v.52 no.1
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    • pp.32-36
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    • 2012
  • Objective : Alcoholic neuropathy is characterized by allodynia (a discomfort evoked by normally innocuous stimuli), hyperalgesia (an exaggerated pain in response to painful stimuli) and spontaneous burning pain. The aim of the present study is to investigate the effect of rolipram, a phosphodiesterase 4 inhibitor, against alcohol-induced neuropathy in rats. Methods : Allodynia was induced by administering 35% v/v ethanol (10 g/kg; oral gavage) to Spraue-Dawley rats for 8 weeks. Rolipram and saline (vehicle) were administered intraperitoneally. Mechanical allodynia was measured by using von Frey filaments. Somatosensory evoked potential (SEP) was proposed as complementary measure to assess the integrity of nerve pathway. Results : The ethanol-induced mechanical allodynia began to manifest from 3 week, and then peaked within 1 week. Beginning from 3 week, latency significantly started to increased in control group. In rolipram treated rats, the shorter latency was sustained until 8 weeks (p<0.05). The mechanical allodynia, which began to manifest on the 3 weeks, intraperitoneal injections of rolipram sustained statistical difference until 8 weeks, the final week of the study (p<0.05). Conclusion : This study suggests that rolipram might alleviate mechanical allodynia induced by alcohol in rats, which clearly has clinical implication.

Model Systems in Radiation Biology: Implication for Preclinical Study of Radiotherapy (방사선 생물학을 위한 모델 시스템: 방사선치료의 전임상 연구)

  • Kim, Wanyeon;Seong, Ki Moon;Yang, Hee Jung;Youn, HyeSook;Youn, BuHyun
    • Journal of Life Science
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    • v.22 no.11
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    • pp.1558-1570
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    • 2012
  • In radiation biology, analysis of various mechanisms in response to radiation has been accomplished with the use of model organisms. These model organisms are powerful tools for providing a biologically intact in vivo environment to assess physiological and pathophysiological processes affected by radiation. Accumulated data using these models have been applied to human clinical studies (including the evaluation of radiotherapeutic efficacy) and discovery of radiotherapy reagents. However, there are few studies to provide overall integrated information about these useful model organisms. Thus, this review summarizes the results of radiation biology studies using four well-known model organisms: yeast, Caenorhabditis elegans, Drosophila melanogaster, and mice.

A Study on the Education of Nursing Management Practice in College of Nursing (4년제 간호대학(과) 간호관리학 실습교육의 현황과 발전방향)

  • Lee, Hyang-Yeon;Kang, Kung-Ah;Park, Sung-Ae
    • Journal of Korean Academy of Nursing Administration
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    • v.11 no.3
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    • pp.303-314
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    • 2005
  • Purpose: To describe the status on the education of the nursing management practice in college of nursing in Korea. Method: A descriptive survey research design was used. The participants were 47 of the college of nursing across the nation. The data were collected by mail from 15th August to 10th November, 2005. Result: The results are as follows : 1. In content analysis of teaching goals Nursing Management Process(n=66), management of environment, material and safety(n=16), Implication of Nursing Management Theory(n=16) were identified. 2. In 39 college of nursing, The education on Nursing Management Practice conducts 1${\sim}$2 credits. Also in 41 college of Nursing, The credits on Nursing Management Practice were opened in senior grade. 3. The type of instructors of Nursing Management Practice were varied in Nursing Schools. 4. As teaching methods, conference(93.5%), ward assigned instruction(73.9%), case report(67.4%), practice report(63%), presentation(52.2%) were used. 5. The education on Nursing Management Practice was performed mainly in clinical nursing area. 6. In evaluation of the education on Nursing Management Practice, all colleges have used evaluation tools. Promptness, neatness, responsibility, sincereness etc. were founded in evaluation criteria in evaluation of the education on Nursing Management Practice. 7. A standardized evaluation tools included essential content of the education on Nursing Management Practice needs to be developed. Conclusion: The result of this study will contribute to improve the education on Nursing Management Practice and also proposing to develop standardized evaluation tools in evaluation of the education on Nursing Management Practice.

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A Study on Acupoint SP3 in Saam Acupuncture Method (사암도인침법에서 태백혈의 운용에 대한 연구)

  • Kim, Song-Yi;Lee, Soon-Ho;Park, Ji-Yeun;Park, Hi-Joon
    • Korean Journal of Acupuncture
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    • v.31 no.4
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    • pp.179-187
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    • 2014
  • Objectives : Saam acupuncture initiated by Saamdoin is traditional and originative method, which is characterized by applying the five phases theory and mother-child reinforcement-reduction principle to the selection of acupoints and needling manipulation. Our study was aimed to summarize and assess the use of acupoint SP3(Taebaek) in Saam acupuncture treatment and to further understand Saam acupuncture in an aspect of the combination of acupoints. Methods : We searched the data based on "(Do Hae Kyo Kam) Sa-Ahm's acupuncture method" for SP3 used and acupoint combination including SP3. We performed frequency analysis, network analysis, and cluster analysis for quantitative aspect. To understand clinical implication of SP3 with another acupoint, qualitative and descriptive methods were also carried out. Results and Conclusions : In our study, SP3 was frequently used for tonification of lung, spleen, heart, and kidney meridian and sedation of kidney, heart, and lung meridian. For this, many acupoints such as LU8, LU9, KI3, HT8, KI7, LU10 and LR1 were used with SP3. The combination of SP3 and other acupoints were used to treat stroke, common cold, and pain conditions including headache, low back pain, respiratory disease as well as gastroenteric troubles including stomachache, indigestion, vomiting, and constipation. To further understand Saam acupuncture, an understanding of the five transport points based on five elements characters, pathological changes (deficiency and excess) of viscera and bowels, and concept of source point should be preceded.

Study of surgical anatomy of portal vein of liver segments by cast method and its clinical implications

  • Shrikantaiah, Vidya C.;Basappa, Manjaunatha;Hazrika, Sangita;Ravindranath, Roopa
    • Anatomy and Cell Biology
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    • v.51 no.4
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    • pp.232-235
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    • 2018
  • Portal vein provides about three-fourths of liver's blood supply. Portal vein is formed behind the neck of pancreas, at the level of the second lumbar vertebra and formed from the convergence of superior mesenteric and splenic veins. The purpose of this study is to review the normal distribution and variation, morphometry of portal vein and its branches for their implication in liver surgery and preoperative portal vein embolization. It is also helpful for radiologists while performing radiological procedures. A total of fresh 40 livers with intact splenic and superior mesenteric vein were collected from the mortuary of Forensic Department, JSS Medical College and Mysuru Medical College. The silicone gel was injected into the portal vein and different segments were identified and portal vein variants were noted. The morphometry of portal vein was measured by using digital sliding calipers. The different types of portal vein segmental variants were observed. The present study showed predominant type I in 90% cases, type II 7.5% cases, and type III 2.5% cases. Mean and standard deviation (SD) of length of right portal vein among males and females were $2.096{\pm}0.602cm$ and $1.706{\pm}0.297cm$, respectively. Mean and SD of length of left portal vein among males and females were $3.450{\pm}0.661cm$ and $3.075{\pm}0.632cm$, respectively. The difference in the Mean among the males and females with respect to length of right portal vein and left portal vein was found to be statistically significant (P=0.010). Prior knowledge of variations regarding the formation, termination and tributaries of portal vein are very helpful and important for surgeons to perform liver surgeries like liver transplantation, segmentectomy and for Interventional Radiologists.

Mediation effect of career self-regulation on the relation between family strength and career decision-making difficulties (대학생의 가족건강성과 진로결정 어려움 간의 관계에서 진로자기조절의 매개효과)

  • Shin, Yun-Jeong;Jun, Joo-Ram
    • Korean Journal of Family Social Work
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    • no.56
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    • pp.105-133
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    • 2017
  • The purpose of this study was to examine the relationship between family strength and career decision-making difficulties and the mediating effect or career self-regulation. The results of the present study suggested the significance of family strength and career self-regulation in understanding career decision-making difficulties. With 172 Korean college students, there were both significant direct and indirect effects from family strength to career decision-making difficulties. Specifically, the mediation roles of career self-regulation was confirmed. Comparing the partial mediation model with full mediation model, the partial mediation model fits better with the data. These results have significant clinical implication that counseling practitioners need to address the possible influence of family strength on college student's perceived difficulties in career decision-making process and to assist students develop appropriate level of competencies of regulating one's emotion, thoughts, and behavior related to career problems.

Influence of Fatigability on the Timing of Reassessment in the Treatment of Posterior Canal Benign Paroxysmal Positional Vertigo (후반고리관 양성돌발두위현훈의 치료에서 재평가 시기에 대한 피로 현상의 영향)

  • Kim, Chang-Hee;Shin, Jung Eun;Shin, Yong Gook;Song, Mee Hyun;Shim, Dae Bo
    • Korean Journal of Otorhinolaryngology-Head and Neck Surgery
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    • v.61 no.12
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    • pp.658-662
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    • 2018
  • Background and Objectives The early assessment of treatment is not done for benign paroxysmal positional vertigo (BPPV) since the well-known phenomenon of fatigability after a repeated positional test can mimic successful treatment. The aim of this study is to evaluate the clinical implication of 'fatigability' after Epley maneuver and to identify the therapeutic efficacy of Epley maneuver in posterior canal BPPV (PC-BPPV). Subjects and Method This study was prospectively conducted by two dizziness clinics on 51 consecutive patients diagnosed with PC-BPPV. All patients included in the study received Epley maneuver treatment. The therapeutic results were reassessed immediately after a single trial of Epley maneuver. After 30 minutes, results were reassessed repeatedly to confirm the fatigability of diagnostic procedure immediately after treatment. If the treatment was not successful after 30 minutes, Epley maneuver was repeatedly performed until complete resolution. Results Immediately after the first maneuver, 45 of 51 (88.2%) patients had neither vertigo nor nystagmus during the positional test. All patients demonstrated complete resolution after receiving one to three Epley maneuvers on the day of diagnosis. 'Fatigability (false negative result)' was confirmed for only one case (1 of 6 patients, 16.7%), in which nystagmus was observed after 30 minutes but not identified immediately after the first Epley maneuver. Conclusion The therapeutic efficacy of Epley maneuver is very high in PC-BPPV. Considering the possibility of fatigability when reassessment is performed immediately after therapeutic maneuver, clinicians should avoid assessing the outcome immediately after treatment in patients with PC-BPPV.

Effect of Intravenous Lipid Emulsion on Clozapine Acute Toxicity in Rats

  • Yousefsani, Bahareh Sadat;Mohajeri, Seyed Ahmad;Moshiri, Mohammad;Jafarian, Amir Hossein;Hosseinzadeh, Hossein
    • Journal of Pharmacopuncture
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    • v.22 no.3
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    • pp.147-153
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    • 2019
  • Objectives: Many studies have been reported the efficacy of intravenous lipid emulsion (ILE) as an antidote on acute lipophilic drug toxicity. Clozapine, highly lipophilic dibenzodiazepine neuroleptics, is an important medication in the schizophrenia therapy regimen. Acute intoxication with antipsychotics is one of the main reasons for the referral of poisoned patients to the hospital. We expected that ILE could be used for the therapy of acute clozapine intoxicated patients. Methods: We used two groups of consisting of six male rats. Both groups received a toxic dose of clozapine (40 mg/kg) intravenously, via the tail vein. After 15 minutes, they were treated with intravenous infusion of 18.6 mg/kg normal saline (NS group), or 18.6 mg/kg ILE 20% (ILE group). We evaluated blood pressure (BP) and heart rate by power lab apparatus through the tail artery, ataxia by a rat rotary circle, seizure scores and death in multiple times after starting clozapine administration. For biochemical and pathological evaluations the samples of tissue and blood were taken. Results: Our results demonstrated that ILE 20% could return hypotension-induced clozapine better than normal saline. Furthermore, ataxia and seizure have rectified more rapidly and deaths reduced. Clozapine administration causes pancreatitis and lung injury but fat emulsion did not show an optimal effect on tissue damages caused by clozapine toxicity. Conclusion: In conclusion, ILE can remove toxic signs of clozapine same as other lipophilic medicines, however, clinical uses of ILE for this intention requires more appraisement to determine the precise implication and safety.