• Title/Summary/Keyword: Peristalsis

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A Case of Achalasia Complained of Neurologic Symptom (신경학적 증상으로 내원한 분문 무이완증 1례)

  • Park, Seong-Shik;Nam, Sang-Ook;Lee, Jun-Woo;Park, Jae-Hong
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • v.4 no.2
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    • pp.218-223
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    • 2001
  • Achalasia is a rare motor disorder of the esophageal smooth muscle in which the lower esophageal sphincter dose not relax properly with swallowing, and the normal peristalsis of the esophageal body is replaced by abnormal contractions. Achalasia has been described as party of several distinct multisystem syndromes suggesting a generalized neuromuscular disorder as the mode of origin. An 11-year-old female was admitted because of paresthesia on the trunk and both legs for 5 days. She had suffered from chest discomfort, dysphagia, postprandial vomiting, and weight loss for 6 months. She was diagnosed as having achalasia by means of the esophagography and esophageal manometry. Her chest discomfort, dysphagia and vomiting much improved after the endoscopic balloon dilatation. The authors present an 11-year-old female with achalasia complained of paresthesia and sucessfully managed by the balloon dilatation.

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An Efficient Hybrid Lighting Management System Implementation on Multi Protocol (다중 프로토콜 기반의 효율적인 하이브리드 조명관리 시스템 구현)

  • Hong, Sung-Il;Lin, Chi-Ho
    • Journal of IKEEE
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    • v.17 no.4
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    • pp.550-558
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    • 2013
  • In this paper, we propose an efficient hybrid lighting management system implementation on multiple protocol. The proposed hybrid lighting management system was implemented by configured as the data display part for management and control of lighting device and the data conversion-processing part the communication part of gateway. The data were designed the DB to enable to storage in real-time, and implemented able to manage by real time wireless remote control and schedule setting. The proposed an efficient hybrid lighting management system, it was possible the real-time monitoring and remote lighting control by peristalsis with smart devices and portable PC etc., and it could be obtained reduction effect of energy and electricity, communication cost.

The Hybrid Lighting Control System on Multiple Sensor (다중센서 기반의 하이브리드 조명제어 시스템)

  • Hong, Sung-Il;Lin, Chi-Ho
    • Journal of IKEEE
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    • v.17 no.3
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    • pp.301-308
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    • 2013
  • In this paper, we propose the hybrid lighting control system on multiple sensor. The proposed hybrid lighting control system was designed for management and control of street lightings by configured as the data display part of integration-interworking part, the data conversion-processing part of integrated management part, and the communication part of gateway system. The data are implemented to designing the DB to enable to storage in real-time by enable to monitoring by wireless remote control and schedule set. As a result of the efficiency verification of the proposed hybrid lighting control system, the hybrid lighting control system be to the real-time monitoring and remote lighting control was possible, because to peristalsis with smart devices and portable PC etc., and it could be obtained the effect of energy and electricity, communication cost reduction.

A Review on Recent Study of Electrogastrography - for Oriental Medical Application - (위전도(胃電圖) 검사(檢査)의 최근(最近) 연구(硏究) 동향(勳向)에 관한 문헌적(文獻的) 고찰(考察) - 한의학적 활용을 위하여)

  • Haa, Song-Yong;Kim, Min-Yong;Park, Young-Jae;Park, Young-Bae
    • The Journal of the Society of Korean Medicine Diagnostics
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    • v.10 no.2
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    • pp.54-66
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    • 2006
  • Objective : To review the method, parameters, system of electrogastrography and to study its oriental medical application. Method : We investigate the research results through internet search engines such as Pubmed, China National Knowledge Infrastructure. Conclusion : Electrogastrography is believed to be of great use to the verification of treatment effect of herbal medicine that is used in internal medicine and neuropsychiatry, along with the objectification and quantification of diagnosis of oriental medicine related to gastric peristalsis and balance of autonomic nervous system. I would therefore like to conclude that there should be continued study and active application of electrogastrography in the wide variety of oriental medicine.

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Estimation Algorithm of Bowel Motility Based on Regression Analysis of the Jitter and Shimmer of Bowel Sounds (장음 특징 변수의 회귀 분석을 통한 장 운동성 추정법)

  • Kim, Keo-Sik;Seo, Jeong-Hwan;Kim, Min-Ho;Ryu, Sang-Hun;Song, Chul-Gyu
    • The Transactions of The Korean Institute of Electrical Engineers
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    • v.60 no.4
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    • pp.877-879
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    • 2011
  • Bowel sounds (BS) are produced by the movement of the intestinal contents in the lumen of the gastro-intestinal tract during peristalsis and thus, it can be used clinically as useful indicators of bowel motility. We devised an estimation algorithm of bowel motility based on the regression modeling of the jitter and shimmer of BS signals measured by auscultation. Ten healthy males ($23.5\pm2.1$ years) were examined. Consequently, the correlation coefficient, coefficient of determination and standard error between the colon transit times (CTT) measured by a conventional radiograph and the values estimated by our algorithm were 0.98, 0.96 and 2.86, respectively. Also, through k-fold cross validation, the average value of the absolute differences between them was $5.0\pm2.5$ hours. This method could be used as a complementary tool for the non-invasive measurement of bowel motility.

A Study on Evaluation of Portal Vein by Utilizing MIP Reconstruction in the PC Environment after Abdomen CT of Hepatic Artery Embolization Patients (간동맥 색전술 환자의 복부단층촬영 후 PC 환경에서 MIP재구성영상을 이용한 간문맥평가에 관한 고찰)

  • Kim, Young-Keun;Jang, Young-Ill;Heo, Young-Nam
    • Journal of radiological science and technology
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    • v.24 no.2
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    • pp.13-17
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    • 2001
  • When most patients are diagnosed with the quiet progressed hepatoma which often would make the operation impossible, the Interventional Radiology hepatic artery embolization is an extremely useful method for such patients. An existence of the malfunction is evaluated by gaining a portal vein image as a delayed phase image after injecting a contrast media into the superior mesenteric artery. However, it is difficult to make a definite judgement due to the extended exposure time with the peristalsis and the intestine gas obstructing the sharpness of the image when the Patient exposure time increases and due to the increased usage of contrast media and its side effect. The portal vein can be evaluated by obtaining the MIP image after reconstructing a 3-dimensional personal computer setting using the 2-dimensional from an enhancement abdomen CT image that is almost a requisite in operation to a hepatoma patient. Such method nay prevent a decrease in the quality of image based upon the time delay and intestine gas; also, because the patient exposure dose and contrast media usage may be reduced, it is a new, valuable way to decide the operational matter of hepatic artery embolization on a pre-angiography.

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The Review of Domestic Research on Traditional Korean Medicine for Gastroesophageal Reflux Disease (위식도 역류질환에 대한 한의학 연구 경향 분석: 국내 논문을 중심으로)

  • Hyun seo, Nam
    • The Journal of Korean Medicine
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    • v.44 no.2
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    • pp.70-105
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    • 2023
  • This study was conducted to examine the current status of traditional korean medicine studies on gastroesophageal reflux disease in Korea, identify deficiencies, and suggest the direction of future medicine research methods to lay the foundation for traditional korean medicine treatment. All domestic papers on the korean traditional treatment of gastroesophageal reflux disease were selected among the literature published until August 2022 in six domestic databases. A total of 52 selected research data were classified into experimental research papers, clinical research papers, and review papers. In experimental papers, to evaluate the effectiveness of treatment, improvement of esophageal mucosal lesions, anti-inflammatory mechanisms, antioxidant mechanisms, esophageal mucosal protection mechanisms, gastric peristalsis control, and gastric acid secretion inhibition mechanisms were used as evaluation measures. In the clinical research paper, the basis for diagnosis of cases was clinical symptoms through medical history listening and diagnosis through visits to hospitals in the past. The average treatment period was 40.7 days, and the duration of treatment was not significantly affected by the duration of the disease. The most widely used Korean medicine treatment intervention was herbal medicine. There were 3 literature review studies, 3 systematic literature review and meta-analysis studies, 1 comparative review study for clinical trial guideline development, all using Chinese papers. This study included all domestic papers on gastroesophageal reflux disease to identify the research trend of the Korean oriental medicine community, and based on this, it is meaningful to confirm areas that need to be supplemented in future research plans.

Paralytic Ileus Secondary to Electrolyte Imbalance: A Case Study in a 16 Year Old Female

  • OKAFOR, Henry Chukwuemeka;IKPEAMA, Osita John;OKAFOR, Jane Nkechinyere;OKAFOR, Rita Ifeyinwa
    • The Korean Journal of Food & Health Convergence
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    • v.8 no.1
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    • pp.17-20
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    • 2022
  • Paralytic ileus is a metabolic state in which the intestines fail to transmit peristalsis due to failure of the neuromuscular mechanism in the small intestines and colon. It is a major cause of morbidity in hospitalized patients especially during late presentations and points of mismanagement. The causes include infections, electrolyte imbalance (hypokalemia, hyponatremia), surgeries and medications. When the exact cause of the disease condition is identified and corrected, paralytic ileus is usually resolved. This case report is that of a 16 year old female who was admitted and managed as a case of paralytic ileus. The patient presented with symptoms of fever, abdominal pain, abdominal distension, vomiting and inability to pass stool or flatus. There was associated body weakness, reduced urine output and weight loss. She was properly examined clinically and sent for various investigations. Investigations such plain abdominal X-Ray, serum electrolyte estimation, chest X-Ray and full blood count were carried out. The results of the investigations done were in keeping with the diagnosis of paralytic ileus, electrolyte imbalance and ongoing sepsis. She was subsequently managed through nil per oral, adequate fluid rehydration, antibiotics and correction of electrolyte imbalance. Following stable clinical state and investigation results, she was discharged and advised on follow-up.

Wireless capsule endoscopy Locomotion

  • Wang, Zhao;Lim, Eng Gee;Leach, Mark;Xia, Tianqi;Lee, Sanghyuk
    • Journal of Convergence Society for SMB
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    • v.4 no.1
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    • pp.55-62
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    • 2014
  • Wireless capsule endoscopy (WCE) was one of the most influential bio-medical electronic technologies to be developed at the beginning of the century. In comparison to traditional endoscopic diagnosis, this application is characterized as non-invasive and low-risk, thereby providing surgeons with a new alternative for inspecting the entire gastrointestinal (GI) track in a much more user friendly way. Apart from regular hardware upgrades, the frontier of WCE research basically lies in the miniaturization of the capsule and in active locomotion. In order to overcome the intrinsic drawback of current commercialized WCE products, which is that locomotion is generally a function of natural peristalsis, active locomotion is proposed as a series of strategies used to effectively navigate the device into different organs and conduct therapeutic functions within targeted human tissues. Reviews of several novel designs with respect to this aspect of research will be discussed in this article.

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Segmental Dilatation of the Sigmoid Colon : A Rare Cause of Chronic Constipation (S상 결장 분절확장증)

  • Park, Woo-Hyun;Choi, Soon-Ok;Paik, Tae-Won;Lee, Hee-Jung;Suh, Soo-Jhi;Kim, Sang-Pyo
    • Advances in pediatric surgery
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    • v.1 no.1
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    • pp.68-72
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    • 1995
  • Segmental dilatation of the colon is a very rare disease entity of unknown etiology and may mimic Hirschsprung's disease. It is characterized by dilatation of a segment of the colon of variable length with obstruction due to lack of peristalsis in a normally innervated intestine. Recently authors experienced a case of segmental dilatation of the sigmoid colon in a 6 month-old male, who presented with severe constipation, abdominal distention, and abdominal mass since 2 months of age. Down's syndrome and congenital nystagmus were associated. Barium enema demonstrated focal dilatation of the sigmoid colon, but the rectum and descending colon proximal t o the affected colon were of normal caliber. Rectal suction biopsy with acetylcholinesterase staining was normal and anorectal manometry showed normal rectosphincteric reflex. At operation, there was a massively dilated and hypertrophied sigmoid colon with increased tortuous serosal vessels, measuring 15 cm in length and 10 cm in width. Teniae coli were identifiable in the affected segment. Frozen section biopsies at the proximal, affected, and distal colon showed ganglion cells. Descending loop colostomy was constructed initially and segmental resection and end to end colocolostomy were carried out 3 months later. Final histologic examination showed 1) normal colonic mucosa with ganglion cells, 2) prominent submucosal fibrosis and marked muscular hypertrophy, 3) unremarkable acetylcholinesterase activity and immunohistochemical findings against S-100 protein. On 8 months follow-up, he has been doing well and moves bowels 1-2 times daily.

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