• Title/Summary/Keyword: College-level Records

Search Result 352, Processing Time 0.027 seconds

Usefulness of Predictors for Hepatotoxicity in Acetaminophen Poisoning Patient (아세트아미노펜 중독 환자에서 간독성 발생 예측인자들의 유용성)

  • Kim, Eun Young;Chung, Sung Phil;Ko, Dong Ryul;Kong, Tae Young;You, Je Sung;Choa, Min Hong;Kim, Min Joung
    • Journal of The Korean Society of Clinical Toxicology
    • /
    • v.16 no.2
    • /
    • pp.149-156
    • /
    • 2018
  • Purpose: The purpose of this study was to determine whether hepatotoxicity could be predicted early using biochemical markers in patients with acetaminophen (AAP) poisoning and to assess the usefulness of predictive factors for acute liver injury or hepatotoxicity. Methods: This study was a retrospective observational study involving a medical records review. The participants were patients who were admitted to the emergency department (ED) with AAP overdose at two hospitals over a 10-year period. Demographic data, age, time from ingestion to visit, initial AAP level, initial hepatic aminotransferases, and initial prothrombin time were recorded. Acute liver injury was defined as a peak serum ALT >50 U/L or double the admission value, and hepatotoxicity was defined as a peak ALT >1,000 U/L. Receiver operating characteristic curve analyses were performed to compare the prognostic performance among variables. Results: A total of 97 patients were admitted to the ED with AAP overdose, of whom 26 had acute liver injury and 6 had hepatotoxicity. Acute liver injury was associated with the time interval after taking the drug, and hepatotoxicity was associated with the initial PT and the ALT level. The scoring system proposed by the authors has a significant ability to predict both acute liver injury and hepatotoxicity. Conclusion: To predict the prognosis of AAP poisoning patients, the time interval after taking AAP was important, and initial prothrombin time and ALT level were useful tests. Also a scoring system combining variables may be useful.

Eight Previously Unreported Species of Macrofungi from Korea

  • Lee, Jin Sung;Kim, Changmu;Choi, SunYoung;Lee, Hyang Burm
    • The Korean Journal of Mycology
    • /
    • v.45 no.4
    • /
    • pp.362-369
    • /
    • 2017
  • This study evaluated macrofungal specimens collected from the Gangwon, Jeonnam, and Chungnam provinces of Korea in 2015~2016. All specimens were identified at the species level using a combination of morphological characteristics and rDNA sequence data. Among them, eight macrofungal species, Coprinopsis romagnesiana, Daldinia loculata, Gymnopus biformis, Gymnopus montagnei, Gymnopus sepiiconicus, Hebeloma danicum, Pholiota limonella, and Russula brevipes, are new records for macromycota in Korea.

Dietary Survey of the College Women (일부지방 여대상의 식생활실태조사)

  • 임현숙
    • Journal of the Korean Home Economics Association
    • /
    • v.18 no.1
    • /
    • pp.47-52
    • /
    • 1980
  • In view of the nationel health, the health of women during their childbearing age is important. In Korean, several studies reported that incidence of anemic case was high among these group. The present study was conducted to investigate the dietetic life and dietetic problems among college women during their child-earing age. One hundred thirty seven college women (Age ranges 18.5 to 21.8) who lived in Gwangju area were randomly selected and were practiced dietary survey by three day records in November 1979. Also, hemoglobin level was determined. The result are summarized as follows; their diets were found to be lacking I total amounts of food it takes (878.6$\pm$266.9 gm) and in such foods as cereals, potatoes, beans, green and yellow vegetables, oils and fats and small fishes. but animal food intakes were sufficient in such foods as fishes, meats and eggs. The average calorie intake (1729.3$\pm$437.0kcal) was insufficient against R.D.A (2000kcal) and the daily energy expenditure (2024.7kcal). Lacking nutrients were Fe and Vitamin A these percentages of R.D.A. were 75.61% and 80.14% The mean body height (16.1$\pm$8.1cm) was higher tendency compared to other studies, but the mean body weight (49.8$\pm$4.1kg) was lighter. The average Hb level was 12.75$\pm$2.94gm%, and 13.64% of the subjects was anemic (12gm% below) The differences of each nutrient intake between the anemic and the healthy group not noted statistically significant.

  • PDF

A Preliminary Study on the Classification of Visiting Nursing Service Recipients and the Development of Standardized Visiting Nursing Service Pathways Based on Public Health Center (대도시 보건소 동단위 방문간호 대상자의 군분류 및 표준 방문간호서비스 경로 개발을 위한 기초연구)

  • Hwang, Rah-Il;Ryu, Ho-Shin;Suk, Min-Hyun;Chin, Dal-Lae
    • Research in Community and Public Health Nursing
    • /
    • v.16 no.4
    • /
    • pp.381-391
    • /
    • 2005
  • Purpose: The purpose of this research is to develop and classify district visiting nursing standards and to standardize visiting nursing service pathways. Method: This research was conducted as a focus group study and analyzed visiting nursing records. We surveyed 201 recipients at urban health centers, who were selected through convenient sampling, from April 2003 to November 2003. Result: First, visiting nursing service recipients were classified into four groups according to household and financial characteristics, existence of disease, ability of self-care, and existence of home care service needs. Standardized pathways of the selected items were assessment. nursing care plan, disease management and promotion of self-care ability for Level I (mean=12.2 visits). For Level II (7.3 visits) were offered assessment. disease management. health education. and health promotion services. For Level III (5.2 visits) were offered assessment. disease management. health education and health promotion services, and for Level IV (2.7 visits) were offered thorough assessment, education for self-care and health promotion. Conclusion: The visiting nursing service pathways identified in this research need to be developed further as basic materials applicable to quality assurance and agency evaluation. For this, we suggest repeated research and test to apply the derived standardized visiting nursing services pathways in visiting nursing programs.

  • PDF

Increasing Prevalence of the Sensitization to Cat/Dog Allergens in Korea

  • Park, Bok Won;Park, Jun Yeong;Cho, Eun Byul;Park, Eun Joo;Kim, Kwang Ho;Kim, Kwang Joong
    • Annals of dermatology
    • /
    • v.30 no.6
    • /
    • pp.662-667
    • /
    • 2018
  • Background: Recently, the number of domestic pets has increased. As a consequence, sensitization to animal allergens, such as cat or dog allergens, has become a problem. Objective: We studied the annual trends of sensitization to cats or dogs, and the characteristics of the patients. Methods: We retrospectively analyzed the medical records of 7,469 patients who visited a dermatology clinic and underwent an allergic profile test, from January 2011 to December 2015. Specific immunoglobulin E (IgE) levels to cat or dog antibody greater than 3.50 IU/ml were regarded as positive results. Results: In all, 274 patients showed significant increase in levels of specific IgE antibody to dog, and 307 revealed increase in levels of of specific IgE antibody to cat. The prevalence of these specific IgEs increased from 2011 to 2015. Independent risks for sensitization to cat allergens were sensitization to dog, but not to house dust, Dermatophagoides pteronyssinus, and D. farinae. Independent risks for sensitization to dog allergens were sensitization to cat, but not to house dust, D. pteronyssinus, and D. farinae. Total IgE level was not related to specific IgE level against either cats or dogs. Conclusion: In conclusion, the prevalence of sensitization to cat or dog has increased. Sensitization to cat or dog is related to each other, but is irrelevant to the total IgE level.

Effect of Injinoryung-san Administration on the Elevated Hepatic Function Test Level: Retrospective Chart Review (인진오령산 투여가 상승된 간화학 수치에 미치는 영향 : 후향적 차트 리뷰)

  • Chu, Hongmin;Shin, Hyeryung;Moon, Yeon-ju;Kim, Cheol-hyun;Kim, Kwang-ho;Lee, Young-ung;Ryu, Ho-sun;Sung, Kang-keyng;Lee, Sang-kwan
    • The Journal of Internal Korean Medicine
    • /
    • v.40 no.3
    • /
    • pp.478-490
    • /
    • 2019
  • Purpose: This work is a retrospective clinical case study evaluating the efficacy of Injinoryung-san granule administration to patients who showed an abnormal hepatic function test level. Methods: We analyzed the chart records of seven patients with elevated levels of the hepatic function test treated with Injinoryung-san granules. Results: The patients who were treated with Injinoryung-san showed a significant improvement in their elevated hepatic function test levels. Conclusion: In patients with elevated hepatic function test levels, Injinoryung-san granules can improve the hepatic level without adverse effects or changes in existing drugs.

Is Adjacent Segment Disease More Frequent in Proximal Levels in Comparison with Distal Levels? Based on Radiological Data of at Least 2 Years Follow Up with More than 2 Level Thoracolumbar Fusions

  • Kim, Jung-Ho;Ryu, Dal-Sung;Yoon, Seung-Hwan
    • Journal of Korean Neurosurgical Society
    • /
    • v.62 no.5
    • /
    • pp.603-609
    • /
    • 2019
  • Objective : The purpose of this retrospective study was to determine which of the proximal adjacent segment disease (ASD) and distal ASD was more prevalent and what parameters is more related to ASD in proximal levels and distal levels after more than 2 levels fusions. Methods : The medical records were reviewed retrospectively for 856 cases. A total of 66 cases of ASD were enrolled. On preop magnetic resonance imaging, disc degeneration was measured at the upper and lower parts of surgically treated levels and confirmed by the commonly used Pfirrmann grade. Segmental flexibility in sagittal plane was embodied in segment range of motion (ROM) obtained through flexion and extension X-ray before surgery. Coronal angle was recorded as methods Cobb's angle including fusion levels preoperatively. For the comparison of categorical variables between two independent groups, the chi-square test and Fisher exact test were performed. Results : Proximal ASD and distal ASD were 37/856 (4.32%) and 29/856 (3.39%), respectively. The incidence of proximal ASD was relatively high but insignificant differences. In comparison between ASD group and non ASD group, proximal Pfirmman was higher in proximal ASD and distal Pfirmman was higher in distal ASD group (p=0.005, p<0.008, respectively). However, in the ROM, proximal ROM was higher in proximal ASD, but distal ROM was not different between the two groups (p<0.0001, p=0.995, respectively). Coronal angle was not quite different in both groups (p=0.846). Conclusion : In spite of higher frequency in ASD in proximal level in spinal fusion, it is not clear that incidence of ASD in proximal level is not higher than that of distal ASD group in more than 2 level thoracolumbar fusions. Not only Pfirrmann grade but also proximal segmental ROM is risk factor for predicting the occurrence of ASD in patients more than 2 level of thoracolumbar spine fusion operation excluding L5S1.

Concurrent Use of Nefopam vs. Ketorolac with Opioid Analgesic for Post-operative Pain Management (수술 후 통증조절 목적으로 펜타닐과 병용되는 네포팜 vs. 케토롤락의 사용현황)

  • Kim, Yoon Hee;Kim, Young Won;Choi, Kyung Suk;Lee, Jung Hwa;Lee, Eunsook;Kim, Seungyeon;Choi, YoungRok;Lee, Euni
    • Korean Journal of Clinical Pharmacy
    • /
    • v.28 no.4
    • /
    • pp.279-284
    • /
    • 2018
  • Objective: To compare the analgesic effects and adverse drug reactions (ADRs) of fentanyl intravenous patient-controlled analgesia (ivPCA) with nefopam, a centrally acting analgesic agent with demonstrated opioid sparing activity, as compared to ketorolac in a tertiary teaching hospital. Methods: A retrospective evaluation of electronic medical records was conducted on patient records including either nefopam or ketorolac with opioid ivPCA for post-operative pain management in general surgery department from January to December 2014. The status of pain control and ADRs were collected. Results: Out of 6,330 general surgery cases, nefopam was given in 153 prescriptions (6.9%) and ketorolac in 81 prescriptions (3.6%). The level of pain control was not different between two groups (70.9% vs. 75.3%; p = 0.51), but ADRs were more frequently reported in nefopam group (9.8% vs. 2.5%; p < 0.05). New ADRs of hot flushes (n = 1) and paresthesia in hands (n = 1) were reported in nefopam group and they were unlisted in the approved package insert. No serious ADRs were reported in both groups. Conclusion: Our findings presented that nefopam showed a similar analgesic effect and higher ADR rates compared to ketorolac as an adjuvant to fentanyl iv PCA for post-operative pain management in general surgery patients in South Korea.

A Study on the Effectiveness of Herbal Medicine Treatment for 755 Traffic Accident Patients-A Retrospective Review According to the Type of Herbal Medicine Prescription

  • Bae, Jae Ryong;Ahn, Hun Mo;Roh, Ju Hee;Jo, Min Gun;Kim, Hye Ryeon;Kim, Seon Hye;Sung, Won Suk;Kim, Eun Jung
    • The Journal of Korean Medicine
    • /
    • v.39 no.4
    • /
    • pp.62-73
    • /
    • 2018
  • Objectives: This study conducted a retrospective review to compare the effectiveness of herbal medicine, while confirming the effectiveness of Korean medicine (KM) in traffic accidents (TA). Methods: We investigated the medical records of TA patients who were hospitalized at Muuido Korean medicine hospital from January 2016 to June 2018 retrospectively. Medical records included general characteristics (Gender, age), TA & treatment-related information (Collision type, chief complaint, hospitalization period, and herbal medicine prescription), and clinical scales (Five-scale improvement, numerical rating scale (NRS)). Statistical analysis was performed for data distribution and effectiveness comparison. Results: 755 TA patients showed 0.78:1 gender ratio. 20-50s years old, rear collision, pain in the cervical and lumbar spine, and hospitalization period within 14 days were the majority. KM improved 83.18% of 755 TA patients' symptoms and ROM over 'improvement' level, which indicated 30-70% improvement. With common KM treatments including acupuncture, cupping, heat therapy, and manipulation therapy, TA patients received various herbal medicines and herbal medicine for breaking severe blood stasis (Tongdo-san) showed improvement in both five-scale improvement and NRS change at the same time. Conclusions: We could confirm the effectiveness of KM, particularly herbal medicine in TA. It would be necessary to develop new herbal medicines such as Tongdo-san to treat TA-related symptoms.

Classical, Non-Clinical, and Clinical Evidence of Yokukansan for Alleviating Aggression: Scoping Review (치매 환자의 공격성 관리에 활용가능한 억간산(抑肝散)의 고전적, 비임상적, 임상적 근거현황)

  • Lee, Dong-Yoon;Kim, Je-Beom;Ha, Da-Jung;Kwon, Chan-Young
    • Journal of Oriental Neuropsychiatry
    • /
    • v.32 no.2
    • /
    • pp.111-127
    • /
    • 2021
  • Objectives: To review and analyze clinical and preclinical evidence of effectiveness, safety, and underlying mechanisms of yokukansan (YKS), a herbal medicine, in alleviating aggression. Methods: Classical records on YKS were searched in the Korean Traditional Medicine Knowledge Database (KTMKD). By searching five electronic databases, prospective clinical studies and preclinical studies of YKS for alleviating aggression/agitation published up to March 30, 2021 were included. Results: Only two classical records on YKS were found from the KTMKD. A total of 11 clinical studies and 15 preclinical studies were found from the five electronic databases. Among 11 clinical studies, seven enrolled patients with dementia and four enrolled patients with other neuropsychiatric disorders. Most clinical studies reported significant improvement in one or more outcomes related to aggression in the YKS group after treatment. Among 15 preclinical studies, all studies except two reported a significant decrease in aggression/agitation-related behavior of YKS or yokukansankachimpihange. Suggested underlying mechanisms of YKS or yokukansankachimpihange for aggression/agitation in these studies included regulation of serotonin receptor, amelioration of abnormal glucocorticoid level related to the hypothalamic-pituitary-adrenal axis, regulation of orexin secretion, amelioration of degeneration in brain cells including glia cells, and suppression of excessive glutamatergic or dopaminergic activity. Conclusions: There were some clinical and preclinical evidence supporting the effectiveness and safety of YKS for alleviating aggression. Given that aggression is the most frequent and destructive symptoms of behavioral and psychological symptoms of dementia, applicability of YKS as a herbal medicine should be further investigated in future high-quality research.