• Title/Summary/Keyword: Distension

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A Case of Korean Medicine for Alcoholic Liver Disease Patients with Fatigue and Dizziness (피로와 현훈을 동반한 알콜성 간질환 환자의 한방치험 1례)

  • Jeong, Yeong-eun;Cho, Youn-soo;Baek, Jung-han;Kim, Jong-Dae
    • The Journal of Internal Korean Medicine
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    • v.39 no.2
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    • pp.224-229
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    • 2018
  • Objectives: The purpose of this study is to report the clinical effectiveness of Korean medicine, especially Palmijihwang-hwan and Oryung-san, on an alcoholic liver disease patient with fatigue and dizziness. Methods: A patient was treated with Korean medicine, including herbal decoction, acupuncture, moxibustion, and cupping. Then, the patient was asked about his condition every day and underwent liver function tests three times. Results: After 13 days of treatment, fatigue decreased by 80%, and dizziness disappeared on the second day of hospitalization. It also recovered from indigestion and abdominal distension. Conclusions: According to this study, Korean medicine, including Palmijihwang-hwan and Oryung-san, is an effective treatment for symptoms associated with alcoholic liver disease.

Cascade 3-Phase IHCML Inverter using Maximal Distension Vector Control (최근접 벡터 제어기법을 이용한 cascade 3상 IHCML 인버터)

  • Park, Jin-Hyun;Park, Sung-Jun;Song, Sung-Geun
    • Journal of the Korean Institute of Illuminating and Electrical Installation Engineers
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    • v.23 no.5
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    • pp.101-109
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    • 2009
  • In this paper, a new method, cascade 3 phase IHCML(Isolated H-bridge Cascade Multi-Level) inverter and a control method is proposed by using two 3-phase transformers that have respectively different transformation rates. Vector control technique in which the highest proximity vector has been used is also put into use. With this process, the switching frequency is almost identical with the output fundamental frequency, which makes less switching loss, and the switching frequency of the small volume of the H-bridge that is in charge of small power is highly controlled, which improves the quality of the output voltage.

Factors influencing Symptom Experience in Patients with Liver Cirrhosis (간경변 환자의 증상경험에 영향을 미치는 요인)

  • Kim, Soo Hyun
    • Korean Journal of Adult Nursing
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    • v.17 no.2
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    • pp.248-258
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    • 2005
  • Purpose: The purpose of this study is to examine the factors influencing symptom experience in patients with liver cirrhosis(LC). Method: A descriptive correlational study design was used. A convenience sample of 129 subjects was recruited from the gastroenterology department at two university hospitals in Seoul, Korea. Symptom experience in LC was measured with the instrument developed by the researcher based on Theory of Unpleasant Symptoms(Lenz et al, 1995) and the Child-Pugh Score, the Korean version of Profile of Mood States, and the Family Support Questionnaire were used to identify the factors influencing symptom experience. Results: The mean score of symptom experience was relatively low(M=41.67, SD= 24.71). Among individual symptoms, fatigue had the highest score in all dimensions. Fatigue, abdominal distension and/or peripheral edema, muscle cramps, dry mouth, and change in appearance were explored as symptoms needing management. In the regression analysis, symptom experience was found to be influenced significantly by anxiety/depression($R^2=.418$, p=.000) and the severity of LC(Child-Pugh Score)($R^2=.125$, p=.000). These variables explained 54.3% of the variance in symptom experience(F=63.607. p=.000). Conclusion: It suggests that nurses need to take into consideration psychological factor as well as physiological factor in symptom management for patients with LC.

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The Reality of Child Abuse in Korea (한국 아동학대의 현실)

  • Jung, Kyuwhan;Han, Ho-Seong;Park, Do-Joong;Eun, Seok-Chan
    • Journal of Trauma and Injury
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    • v.25 no.4
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    • pp.283-286
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    • 2012
  • A trauma surgeon is always concerned about child abuse when he or she meets injured children. Abused children will be neglected if trauma surgeons only concentrate on the injured site or physical dynamics. Lately, violence on children has increased in Korea. Therefore, in this study, we considered child abuse through a review of the literatures. An eleven-year-old boy visited the emergency room vomiting with abdominal distension. He had been kicked in the abdomen by his step-mother 10 days earlier. The computed tomography revealed a transected pancreas tail and neck with a large pesudocyst (Fig. 1) and laboratory findings showed an elevated amylase level of more than 6,500 IU/L. Because he complained of severe pain with rebound tenderness on the whole abdomen, he underwent an emergent laparotomy, a distal pancreatectomy of the tail portion with an anti-leakage procedure on the cut surface of the pancreas. However, he underwent a distal pancreatectomy again on the neck portion of the pancreas because of a continuing pseudocyst with severe pain that could not be controlled with conservative managements. After that, his symptoms were improved and he returned to his daily life.

Nutcracker Syndrome combined with Superior Mesenteric Artery Syndrome in a Pediatric Patient: A Case Report

  • Min, Kyung Wook;Lee, Oh Kyung;Kim, Mi Kyung
    • Childhood Kidney Diseases
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    • v.22 no.2
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    • pp.75-80
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    • 2018
  • Nutcracker syndrome is a phenomenon that the left renal vein (LRV) is pressed between the superior mesenteric artery (SMA) and the aorta. Clinical characteristics include gross or microscopic hematuria, orthostatic proteinuria, abdominal pain, and back pain. It occurs due to LRV squeezing caused by narrowed aortomesenteric angle. SMA syndrome is a disease that the third part of the duodenum is prone to intestinal obstruction by narrowed angle between the SMA and the abdominal aorta. Clinical symptoms include postprandial abdominal distension, epigastric pain, nausea, and vomiting. SMA syndrome and nutcracker syndrome have common features that result from narrowed aortomesenteric angle. However, it is very rare for both syndromes to occur simultaneously, so the two syndromes are regarded as separate diseases. This is a report on a case of nutcracker syndrome with SMA syndrome in a child who presented gross hematuria, recurrent abdominal pain and vomiting. To our knowledge, nutcracker syndrome simultaneous with SMA syndrome has not been previously reported in pediatric patient, especially with an exhibition of gross hematuria. This case suggests that the simultaneous presence of SMA syndrome with the same pathogenesis needs to be considered when nutcracker syndrome is suspected in pediatric patients with hematuria.

Effect of superoxide anion in the regulation of artrial natriuretic peptide (ANP) secretion (심방이뇨호르몬의 분비조절에 있어서 superoxide anion의 영향)

  • Kang, Chang-won;Kim, Nam-soo;Lee, Ho-il
    • Korean Journal of Veterinary Research
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    • v.36 no.1
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    • pp.65-74
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    • 1996
  • Atrial Natriuretic Peptide(ANP) is a hormone with potent natriuretic, diuretic and relaxing properties of vascular smooth muscle. Specific chemical modulator responsible for the ANP secretion has not yet been found. Although atrial stretch of stretch-release is to be a major stimulus for the secretion of ANP, the precise mechano-molecular transduction mechanism responsible for its evoked secretion remains to be elucidated. It is interested to clarify the effect of superoxide anion in the stretch-induced ANP secretion. In order to investigate the effectg of $H_2O_2$ in the regulation of ANP secretion, a perfused model of left atrium of rats was used. The results obtained were as follows; 1. The ANP secretion and the extracellular fluid(ECF) translocation were accentuated by the effect of repetitive atrial distension-reduction volume at atrial pressure($4cmH_2O$). 2. The dilution curve showed to be in parallel between pure atriopeptin III (AP III) and perfusated buffer. 3. $H_2O_2(5{\times}10^{-4}M)$ accenturated a strectch-release induced increase of the ANP secretion. The amount of released ANP was significantly(p<0.01) increased. These results suggest that the superoxide anion may be involved in the regulatory mechanism of mechanically activated ANP release.

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Replacement Operation for Occlusion of Great Vein with Dacron Prosthesis: 3 Cases Report (대정맥 폐쇄증에 대한 인조혈관 대치술[치험 3예])

  • Lee, Jung-Ho;Kim, Byeong-Yeol;Yu, Hoe-Seong
    • Journal of Chest Surgery
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    • v.14 no.3
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    • pp.274-279
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    • 1981
  • We performed three replacement operations of great venous obstruction with Dacron prosthesis from July, 1980 to Nov. 1980. Summary of 3 cases as belows: 1) Inferior vena cava obstruction . 43 years old male was admitted because of abdominal distension and marked superficial collateral circulation on chest and abdomen. Inferior vena cavogram showed complete obstruction of I. V .C. just below hepatic vein. Bypass operation was done between Rt atrium '||'&'||' I. V.C. (just above renal vein) with Woven Dacron prosthesis (22mm in Diameter) under ex tracorporeal ci rculation. 2) Superior vena cava obstruction . 21 years old male was admitted because of facial edema and irritative cough. Well circumscribed lobulated mass was located at ant. superior mediastinum and extended to Rt. thorax in chest P-A view. Woven Dacron prosthesis (10mm in Diameter) was replaced at involved S.V.C. segment after Rt. upper '||'&'||' middle lobectomy with tumor resection. 3) Common iliac vein obstruction (Lt) . 64 years old female was admitted because of generalized edema and tenderness of Lt. lower extremity. Venography of Lt leg showed complete obstruction of common iliac vein. Woven Dacron prosthesis (10mm in Diameter) was replaced at obstruction site.eplaced at obstruction site.

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Isolation of Streptococcus parauberis from starry flounder, Platichthys stellatus Pallas (양식 강도다리, Platichthys stellatus Pallas에서 분리된 Streptococcus parauberis의 특성)

  • Cho, Mi-Young;Lee, Jae-Il;Kim, Myoung-Sug;Choi, Hee-Jung;Lee, Deok-Chan;Kim, Jin-Woo
    • Journal of fish pathology
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    • v.21 no.3
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    • pp.209-217
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    • 2008
  • A disease with mass mortality characterized exophthalmia and abdominal distension by ascites occurred in farmed starry flounder, Platichthys stellatus in Pohang since October of 2007. Severe necrosis and infiltration of inflammatory cells were observed in tissue histopathological sections from liver, kidney, spleen and heart of the diseased fish. The catalase-negative and gram positive cocci with -hemolysis were isolated from moribund fish. Analysis of the API profiles and the multiplex PCR of the isolates showed that strains were identified as Streptococcus parauberis. In API profiles, S. parauberis isolated from starry flounder differed from those of olive flounder, Paralichthys olivaceus to the test of arginine dihydrolase, D-mannitol, D-sorbitol and α-lactose. And the strains, PH0710 and PH0711, were strongly lethal for starry flounder (LD50 ranging from 4.2×103~4.2×102 cfu/fish at 7 days after intraperitoneally inoculation). This is the first report on a S. parauberis infection in starry flounder.

고창(鼓脹)의 처방(處方)에 대한 문헌적(文獻的) 고찰(考察)

  • Lee, Yong-Un;Kim, Il-Ryeol;Choe, Chang-Won;Lee, Gang-Nyeong;Lee, Yeong-Su;Gwak, Jeong-Jin;Kim, Hui-Cheol
    • Herbal Formula Science
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    • v.9 no.1
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    • pp.165-206
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    • 2001
  • After this study, I report the following result from it 1. 'Qiao zhang' is the symptoms that the abdomen is distension and fullness, but face, eye, four limb is not dropsial swelling. It corresponds to the Gu zhang(?脹), Zhang man(脹滿), Jiju(積聚), Dan fu zhang(單腹脹), Zhong man(重滿) of the Oriental Medicine. 2. The cause and overeating and, and malfunction pathology of the 'Qiao zhang' were accumulation of water cause of overeating and, overdrinking, the hurt of feeling, overwork, infection of blood sucker and malfunction of liver, spleen and kidney for jandice and Jiji(積聚) 3. The treatment of the 'Qiao zhang' was reinforcing middle-energizer and replenishing Qi and allevating water retention because middle-energizer were much weak. 4. The prescription of the 'Qiao zhang' that Zhang man fen xiao wan(中滿分消散) were 16 times the most. Zhang man fen xiao tang(中滿分消湯), Guang man kui jian tang(廣茂潰堅湯), ren shen gui pi tang(人蔘芎歸湯), Yu yu liang wan(禹餘糧丸), mun xiang sun qi tang(木香順氣散) were next. 5. The single herb of the prescription of the 'Qiao zhang' that were Auckrandiae Radix(木香), Citri Pericarpium(陳皮) for rephenshing qi drug, Atractylodis Macrocephalae Phieoma(白朮), Ginseng Radix(人蔘), Magnoliae Cortex(厚朴) for regurating qi drug, Pinelliae Rhzoma(半夏) for dischanging phlegm drug.

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Primary Hepatic Tumors in Children (소아 원발성 간종양)

  • Jung, Hyung-Joong;Kim, Hyun-Young;Jung, Sung-Eun;Park, Kwi-Won;Kim, Woo-Ki
    • Advances in pediatric surgery
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    • v.11 no.2
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    • pp.107-114
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    • 2005
  • Primary liver tumors are uncommon in childhood, with a relative frequency of 3 % of all childhood tumors. Seventy-three cases of pediatric primary liver tumors operated on at single institution between 1986 and 2002 were reviewed. Malignant tumors included 37 cases of hepatoblastoma, 11 hepatocellular carcinomas, 6 undifferentiated (embryonal) sarcomas, and 1 mixed germ-cell tumor. Benign tumors constitute only 24.6 % of liver tumors, including 7 hemangioendotheliomas, 5 mesenchymal hamartomas, 3 congenital cysts, and one each with focal nodular hyperplasia and hemangioma. The common presenting clinical features were abdominal mass or abdominal distension. Anatomical hepatic resections were carried out in 38 cases, and nonanatomical resections in 34 cases. One patient died of a direct result of hepatic resection (1.4 %). The complication rate was 16.4 %.

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