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산업장 근로자의 스트레스에 대한 한의계 연구경향 (The Trends of Korean Medical Study on Stress in the Industrial Worker)

  • 차윤엽;고연석;이정한;정원석;신병철;전찬용;고호연;선승호;장보형;송윤경;고성규
    • 한방재활의학과학회지
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    • 제23권2호
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    • pp.117-128
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    • 2013
  • Objectives : The purpose of this study is to explore the trends of Korean medical study on stress in the industrial worker. Methods : We received numbers of the studies about stress in the industrial worker from 6 Korean web databases, using key words such as 'Industry AND Stress', 'Oriental medicine AND Stress', 'Worker AND Stress', 'Workplace AND Stress'. We received 12 research papers and they were analyzed and the journals, the authors, the contents of 3 classification of those research papers. Results : Among them, we had 6 reviews of Dept. of preventive medicine and Dept. of third medicine, college of Korean Medicine, Won-kwang University, and the rest of them were 6 reviews. We had 4 reviews of Korean Journal of Oriental Preventive Medical Society, 2 reviews of the Journal of Traditional Korean Medicine, 2 reviews of Journal of Oriental Neuropsychiatry and so on. According to the contents of reviews, we had 7 reviews of correlation of industrial worker and stress, 4 reviews of cause on the industrial worker's stress and 1 case report. Conclusions : We reviewed the trends of Korean medical study on stress in the industrial worker. The stress in the industrial workers were related with the type of occupation, social psychology, drinking, smoking, the satisfaction of job, the harmony of organization. And we knew that the musculoskeletal pain was related to the industrial worker's stress. In the future, abundant case studies, follow-up trials and RCTs should be done about the industrial worker's stress.

호흡성 세기관지염-연관 간질성 폐질환 1예 (A Case of Respiratory Bronchiolitis-Associated Interstitial Lung Disease)

  • 안병훈;박형석;도정호;서지영;정만표;이종헌;김관민;이경수;한정호
    • Tuberculosis and Respiratory Diseases
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    • 제46권1호
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    • pp.103-109
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    • 1999
  • RB-ILD는 다량의 흡연력이 있는 사람에서 간질성폐질환의 증상과 소견을 보일 때 의심해야 하며, 임상상이나 방사선학적 소견은 비특이적으로 진단을 위해서는 폐생검이 필요하다. 치료와 예후에 있어서 다른 폐질환과 달리 금연 및 부신피질 스테로이드에 반응이 좋고 예후도 양호하기 때문에 감별이 중요하다. 저자들은 다량의 흡연력이 있는 48세 남자에서 폐생검을 통해 RB-ILD를 진단하였기에 문헌 고찰과 함께 국내에서 처음으로 보고하는 바이다.

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중추성 요붕증을 동반한 원발성 폐 조직구종 X 1예 (A Case of Primary Pulmonary Histiocytosis-X Associated with Central Diabetes Insipidus)

  • 김영민;박융인;최영근;이재승;이우철;홍진희;이수봉;류기찬;이민기;이창훈;이형렬;박순규
    • Tuberculosis and Respiratory Diseases
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    • 제46권1호
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    • pp.110-115
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    • 1999
  • 저자들은 호흡곤란과 다음, 다뇨로 내원한 23세 남자에서 임상소견, 흉부 X-선 검사, 고해상도 흉부단층 촬영, 수분제한검사, 개흉 폐생검으로 확진된 흔치 않은 중추성 요붕증을 통반한 원발성 폐 조직구증 X를 경험하였기에 문헌고찰과 함께 보고하는 바이다.

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Clinical Features according to the Frequency of Acute Exacerbation in COPD

  • Lee, Seung-Jun;Lee, Seung-Hun;Kim, Yu-Eun;Cho, Yu-Ji;Jeong, Yi-Yeong;Kim, Ho-Cheol;Kim, Jin-Hyun;You, Jin-Jong;Yoon, Chul-Ho;Lee, Jong-Deog;Hwang, Young-Sil
    • Tuberculosis and Respiratory Diseases
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    • 제72권4호
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    • pp.367-373
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    • 2012
  • Background: Chronic obstructive pulmonary disease (COPD) is now regarded as a heterogenous disease, with variable phenotypes. Acute exacerbation of COPD is a major event that alters the natural course of disease. The frequency of COPD exacerbation is variable among patients. We analyzed clinical features, according to the frequency of acute exacerbation in COPD. Methods: Sixty patients, who visited Gyeongsang National University Hospital from March 2010 to October 2010, were enrolled. Patients were divided into two groups, according to their frequency of acute exacerbation. Frequent exacerbator is defined as the patient who has two or more exacerbation per one year. We reviewed patients' medical records and investigated modified Medical Research Council (MMRC) dyspnea scale, smoking history and frequency of acute exacerbation. We also conducted pulmonary function test and 6-minute walking test, calculated body mass index, degree of airway obstruction and dyspnea and exercise capacity (BODE) index and measured CD146 cells in the peripheral blood. Results: The number of frequent exacerbators and infrequent exacerbators was 20 and 40, respectively. The frequent exacerbator group had more severe airway obstruction (forced expiratory volume in one second [$FEV_1$], 45% vs. 65.3%, p=0.001; $FEV_1$/forced vital capacity, 44.3% vs. 50.5%, p=0.046). MMRC dyspnea scale and BODE index were significantly higher in the frequent exacerbator group (1.8 vs. 1.1, p=0.016; 3.9 vs. 2.1, p=0.014, respectively). The fraction of CD146 cells significantly increased in the frequent exacerbator group (2.0 vs. 1.0, p<0.001). Conclusion: Frequent exacerbator had more severe airway obstruction and higher symptom score and BODE index. However, circulating endothelial cells measured by CD146 needed to be confirmed in the future.

결핵성 파괴폐의 흉부 전산화단층촬영 소견 및 폐기능과의 상관관계 (CT Radiologic Findings in Patients with Tuberculous Destroyed Lung and Correlation with Lung Function)

  • 채진녕;정치영;심상우;노병학;전영준
    • Tuberculosis and Respiratory Diseases
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    • 제71권3호
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    • pp.202-209
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    • 2011
  • Background: A tuberculous destroyed lung is sequelae of pulmonary tuberculosis and causes various respiratory symptoms and pulmonary dysfunction. The patients with a tuberculous destroyed lung account for a significant portion of those with chronic lung disease in Korea. However, few reports can be found in the literature. We investigated the computed tomography (CT) findings in a tuberculous destroyed lung and the correlation with lung function. Methods: A retrospective analysis was carried out for 44 patients who were diagnosed with a tuberculous destroyed lung at the Keimyung University Dongsan Hospital between January 2004 and December 2009. Results: A chest CT scan showed various thoracic sequelae of tuberculosis. In lung parenchymal lesions, there were cicatrization atelectasis in 37 cases (84.1%) and emphysema in 13 cases. Bronchiectasis (n=39, 88.6%) was most commonly found in airway lesions. The mean number of destroyed bronchopulmonary segments was 7.7 (range, 4~14). The most common injured segment was the apicoposterior segment of the left upper lobe (n=36, 81.8%). In the pulmonary function test, obstructive ventilatory defects were observed in 31 cases (70.5%), followed by a mixed (n=7) and restrictive ventilatory defect (n=5). The number of destroyed bronchopulmonary segments showed a significant negative correlation with forced vital capacity (FVC), % predicted (r=-0.379, p=0.001) and forced expiratory volume in one second ($FEV_1$), % predicted (r=-0.349, p=0.020). After adjustment for age and smoking status (pack-years), the number of destroyed segments also showed a significant negative correlation with FVC, % predicted (B=-0.070, p=0.014) and $FEV_1$, % predicted (B=-0.050, p=0.022). Conclusion: Tuberculous destroyed lungs commonly showed obstructive ventilatory defects, possibly due to bronchiectasis and emphysema. There was negative correlation between the extent of destruction and lung function.

제1기 비소세포폐암에서 APT1 발현의 임상적 의미 (The Clinical and Pathologic Features according to Expression of Acyl Protein Thioesterase-1 (APT1) in Stage I Non-small Cell Lung Cancer)

  • 신정아;이창률;변민광;장윤수;김세규;장준;안철민;김형중
    • Tuberculosis and Respiratory Diseases
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    • 제68권4호
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    • pp.212-217
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    • 2010
  • Background: Acyl protein thioesterase-1 (APT1) is a cytosolic protein that may function in the depalmitoylation of numerous proteins, including the Ras family. However, the clinical role of depalmitoyl thioesterase in human cancer is not known. We evaluated the APT1 expression in lung cancer tissue and its clinicopathological findings according APT1 expression pattern. Methods: APT1 expression was examined by immunohistochemistry in the tumor tissue from 79 patients, who had undergone curative surgical removal of the primary lesion; all patients had been diagnosed with stage I non-small cell lung cancer between 1993 and 2004, at Gangnam Severance Hospital, Yonsei University College of Medicine, Seoul, Korea. Results: The APT1 expression was seen in 50 out of 79 (63.3%) cases. The positive APT1 expression was significantly related with histologic subtype and T stage, but was not influenced by differentiation. The positive APT1 expression was not significantly related to patient age, gender, or smoking history. The median follow-up duration was 10.0 years; the 5-year survival rate was 71.0%. The positive APT1 expression group showed significantly worse overall survival and worse disease-free survival without statistical significance. Conclusion: We conclude that positive APT1 expression in stage I lung cancer after surgery is closely associated with overall survival. To evaluate APT1 as a prognostic marker in lung cancer, comprehensive studies on advanced stage cases are needed.

우중하엽 폐허탈 및 폐쇄세기관지기질화 폐렴을 유발한 기관지 지방종 1예 (A Case of Endobronchial Lipoma Causing Right Middle and Lower Lobes Collapse and Bronchiolitis Obliterans-organizing Pneumonia)

  • 손지영;정지예;하유정;홍수정;정민규;정문재;서용성;문지애;변민광;박병훈;문진욱;박무석;김영삼;장준;김상겸;정경영;김세규
    • Tuberculosis and Respiratory Diseases
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    • 제65권4호
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    • pp.313-317
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    • 2008
  • 저자들은 기침, 우측 흉부 불쾌감을 주소로 내원한 58세 남자 환자에서 기관지내시경 육안 소견상 양성 종양이 의심 되었으나 조직 검사상 지방종을 확진하지 못하였고 악성 종양을 배제할 수 없는 상황에서 종괴에 의한 우중엽과 우하엽의 허탈 및 폐쇄성 폐렴 때문에 수술적 치료를 시행하였으며, 수술 결과 기관지 지방종에 의한 폐허탈과 함께 폐쇄세기관지기질화 폐렴이 발생한 예가 있어 보고하는 바이다.

구강점막질환 환자의 행동패턴 연구 (Behavior patterns of patients with oral mucosal disease)

  • 옥수민;김경희;전혜미;허준영;안용우;정성희
    • 대한치과의사협회지
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    • 제52권12호
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    • pp.744-752
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    • 2014
  • There are many causes of oral mucosal diseases, so accordingly, there are various treatments available. The most commonly used agents include adrenocortical hormones, antifungals, antivirals, antibacterials, and immunosuppressants. However, it must also be noted that improving oral hygiene and nutrition, and reducing stress are effective in symptom relief. Furthermore, patients with existing diseases of the oral mucosa should avoid behavior that may cause an increase in pain. Unfortunately, many patients are unaware of the activities that may lead to increased pain and therefore do not avoid these activities. The aim of this study was to investigate and analyze the behavior of patients with oral mucosal disease with regard to activities that led to increase pain. This cross-sectional study was performed on a sample of patients with oral mucosal disease selected from the Oral Medicine Clinic of the Pusan National Hospital during March to August 2013. These patients were randomly selected. From a total of 479 patients, 116 patients with mucosal disease were selected and 73 fully completed questionnaires were included in the analysis. Data were collected by using self-completed questionnaires. The results were as follows: Mean score of Question 13 (Not smoking) is $2.47{\pm}1.11$. Mean score of Question 11 (Not drinking alcohol or not using mouthwash containing alcohol) is $2.22{\pm}1.15$. The other questions resulted in scores lower than 1.5. The answers to the questions were scored according to the following assigned numerical values: not keeping = score of 0; little keeping = score of 1; often keeping = score of 2; always keeping = score of 3. In conclusion, patients with oral mucosal diseases unknowingly engage in activities that result in an increase in pain. Therefore, they need to be educated about how to behave to protect oral mucosal lesion.

노니 추출물의 주름개선 효과연구 (Anti-wrinkle Effect of Morinda citrifolia (Noni) Extracts)

  • 이정노;김상우;유영경;이강태;이건국
    • 대한화장품학회지
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    • 제32권4호
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    • pp.227-231
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    • 2006
  • 주름생성의 주요 원인은 자외선, 공기 오염, 담배 연기, 스트레스 등을 들 수 있다. 특히, 자외선은 피부에 다양한 형태로 영향을 주어 깊은 주름, 잔주름, 피부거침, 피부건조와 같은 현상을 발생시켜 피부노화를 유발시킨다. 이러한 주름 생성 해결 및 피부 노화 문제의 해결은 화장품에서 가장 활발하게 연구되는 분야 중 하나이다. 최근에 열대 식물인 노니로부터 추출한 유효성분이 주름 개선에서 가장 중요한 콜라겐 생합성을 촉진하는 효과를 확인하였으며, 특히 노니 추출물로부터 분리한 스코폴레틴(scopoletin)이 이러한 효과를 주는 활성 성분임을 확인하였다. 스코폴레틴은 인체 섬유아 세포를 이용한 콜라겐 합성 촉진 효과 시험에서 농도 의존적으로 콜라겐 합성을 촉진하는 활성을 보였다($0.2{\mu}g/mL-89.5%$ 콜라겐 생합성 촉진. 또한, 주름 개선 효과를 확인하기 위해 3% (v/v) 노니 추출물을 함유한 크림을 이용하여 12주 동안 임상연구를 수행하여, 안면의 주름 감소 정도를 측정하였으며 이 제품이 주름을 감소시켜주는 뛰어난 효과가 있다는 것을 확인하였다. 이러한 결과들은 노니 추출물이 주름 개선효과가 매우 높으며, 노화 방지 원료로서 이용 가능성이 매우 높다는 것을 보여주는 것이라 할 수 있다.

산수유를 포함한 복합추출물이 cimetidine으로 발기부전을 유도한 동물모델에서 성기능 개선 효과 (Effect of Complex Extract Including Cornus officinalis on the Cimetidine/Ethanol-induced Erectile Dysfunction Model in Rats)

  • 장지훈;김태묵;심미옥;노종현;정호경;이무진;이기호;안병관;조현우
    • 한국자원식물학회지
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    • 제31권2호
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    • pp.109-116
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    • 2018
  • 발기부전(erectile dysfunction, impotence)은 성교과정을 위한 음경이 딱딱하게 발기되지 않거나 유지하지 못하는 것을 말한다. 잦은 발기 부전은 심장 질환, 비만, 알코올 중독, 스트레스, 흡연 및 우울증을 비롯하여 치료가 필요한 건강상의 문제가 원인이 된다. 본 연구는 산수유(Cornus officinalis)를 포함한 복합 추출물이 발기부전 랫드모델에서 성기능과 관련된 인자에 미치는 영향을 알아보고자 하였다. 발기부전 랫드모델은 Cimetidine/5% EtOH를 2주 동안 경구투여하여 유도한 후, 산수유 등 복합추출물을 각각 다른 농도로 경구투여하였다. 그 결과, 산수유 등 복합추출물 처리군(CPL-300, 600, 900 mg/kg)에서 성 기능 인자(NO, cGMP)가 대조군에 비해 유의성 있게 향상되었다. 또한 혈청 테스토스테론은 산수유 등 복합추출물 처리 후 용량 의존적으로 증가하였다. 더욱이, 산수유 등 복합추출물의 투여는 발기부전 랫드모델에서 전립선의 크기를 회복시키는 것을 확인하였다. 결과를 종합하자면 산수유 등 복합추출물이 랫드모델에서 성기능 인자와 테스토스테론을 증가시킴으로써 발기부전을 완화시킨다는 것을 보여 주었고, 이는 산수유 등 복합추출물이 천연 추출물로 향 후 발기부전 치료에 사용될 수 있음을 시사한다. 하지만 산수유 복합추출물의 남성 성기능의 직접적인 연관관계, 유효성분과 그 메커니즘을 자세히 밝히기 위해서는 추가적인 연구가 필요하다고 사료된다.