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Interpretation and Prospection of Influenza Virus through Swine-origin Influenza Virus (신종플루 바이러스를 통한 인플루엔자 바이러스의 해석 및 전망)

  • Chang, Kyung-Soo
    • Korean Journal of Clinical Laboratory Science
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    • v.42 no.1
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    • pp.1-15
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    • 2010
  • Swine influenza virus (SIV) or swine-origin influenza virus (S-OIV) is endemic in swine, and classified into influenza A and influenza C but not influenza B. Swine influenza A includes H1N1, H1N2, H3N1, H3N2 and H2N3 subtypes. Infection of SIV occurs in only swine and that of S-OIV is rare in human. What human can be infected with S-OIV is called as zoonotic swine flu. Pandemic 2009 swine influenza H1N1 virus (2009 H1N1) was emerged in Mexico, America and Canada and spread worldwide. The triple-reassortant H1N1 resulting from antigenic drift was contained with HA, NA and PB1 of human or swine influenza virus, PB2 and PA polymerase of avian influenza virus, and M, NP and NS of swine influenza virus, The 2009 H1N1 enables to transmit to human and swine. The symptoms and signs in human infected with 2009 H1N1 virus are fever, cough and sore throat, pneumonia as well as diarrhea and vomiting. Co-infection with other viruses and bacteria such as Streptococcus pneumoniae can occur high mortality in high-risk population. 2009 H1N1 virus was easily differentiated from seasonal flu by real time RT-PCR which contributed rapid and confirmed diagnosis. The 2009 H1N1 virus was treated with NA inhibitors such as oseltamivir (Tamiflu) and zanamivir (Relenza) but not with adamantanes such as amantadine and rimantadine. Evolution of influenza virus has continued in various hosts. Development of a more effective vaccine against influenza prototypes is needed to protect new influenza infection such as H5 and H7 subtypes to infect to multi-organ and cause high pathogenicity.

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A Case of Septic Pulmonary Embolism Associated with MRSA Infective Endocarditis (메치실린 내성 황색포도상구균 세균성 심내막염에 의한 패혈성 폐색전증 1예)

  • Lee, Ki-Jong;Kim, Nha-Young;Kim, Ja-Seon;Yun, Han-Kyeol;Oh, Mi-Jung;Kim, Do-Hoon;Cho, Sang-Kyun;Ryu, Han-Young;Bae, Young-A;Kim, Dae-Bong;Shin, Mi-Kyung;Chin, Jae-Yong
    • Tuberculosis and Respiratory Diseases
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    • v.69 no.2
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    • pp.124-128
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    • 2010
  • Septic pulmonary embolism is the process in which an infected thrombus becomes detached from its site of origin and lodges in a pulmonary artery, and is usually associated with infective endocarditis, especially right-sided, or infection-associated with indwelling catheters, peripheral septic thrombophlebitis, and periodontal diseases, etc. Here, we report a case of septic pulmonary embolism associated with tricuspid valve infective endocarditis. A 23-year-old female was admitted to our hospital, due to fever, sore throat, and myalgia. In her past medical history, she had undergone a surgical operation for closure of a ventricular septal defect, but was informed that the operation resulted in an incomplete closure. The initial chest radiograph demonstrated multiple rounded, parenchymal nodules in various sizes; several nodules had central lucency suggesting cavitations. Echocardiography demonstrated a large vegetation attached to the septal tricuspid valve leaflet, extending from right ventricular inflow tract to outflow tract. Computed tomography of thorax revealed bilateral peripheral nodules and wedge-shaped consolidation at various sizes, mostly accompanied by cavitations.

Comparative Study on Diseases and Symptoms between Shanghan-lun and Juyan Wooden Slips (거연한간(居延漢簡)과 상한론(傷寒論)의 병증(病症) 비교 연구)

  • Ha, Ki-Tae;Jeong, Han-Sol;Shin, Sang-Woo
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.25 no.1
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    • pp.19-28
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    • 2011
  • More than 30,000 Wooden Slips were excavated in the Juyan region in 1930s and 1970s. These slips recorded military actions of Juyan Frontier Fortress during Han dynasty, which is about BC 100 ~ AD 30. On the slips, there are many disease names and symptoms mentioned. We focused on a certain disease name, namely, Shnaghan(傷寒; injured by cold), which is the main subject of Shangha-lun(傷寒論). Looking closely into these Juan Wooden Slips, we found many articles recording Shanghan, including related diseases and symptoms, such as Shanghan(傷汗; injured by sweat), headache, fever and chills, immobilization of limbs, unacceptance of foods. And there are another Shanghan-related symptoms, such as inflation of upper-abdomen(心腹支滿), pain of upper abdomen(心腹痛), strain of both armpits(兩胠葥急), inflation of chest(胸脇支滿), tightness and fear in the chest(煩滿). Although they have no direct relationship with Shanghan, there are many symptoms, including the external wounds of waist, finger, thigh, back, breast and head, abscess of leg and elbow, sore throat, itching, leucorrhea, powerlessness of hands and legs(手足癃), visceral injury(傷臟), tinnitus, cold, warm and heat. Because the Wooden Slips are very short, with some characters even missing, we can not confirm the detail of the disease and symptoms. In addition, we will report about the herbal medicines and other treatments, which are recorded on the slips, by further research.

Bibliographic Studies on the Bufonis Venenum (섬소(蟾?)에 관(關)한 문헌적(文獻的) 고찰(考察))

  • Kang, Kye-Sung;Kwon, Gi-Rok
    • Journal of Pharmacopuncture
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    • v.4 no.2
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    • pp.35-47
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    • 2001
  • Objectives : Through the literatures on the effets of Bufonis Venenum, we are finding out the clinical possibility and revealing the more effective to intractable diseases. Methods : We investigated the literatures of Oriental Medicine and experimental reports about Bufonis Venenum. Results : 1. Bufonis Venenum is made of bufonidae bufo bufo gargarizans cantor or bufo melanostictus schneider of white serum which secreted from parotid gland or dermato gland, and it is dried for using. 2. In oriental medicine, Bufonis Venenum has been mainly used on the tumors, cacanthrax and dermatic disease, and then it has been clinically used on infantile athrepsia, tetanus, sore throat, toothache, and so on. 3. The pharmacological effects of Bufonis Venenum are cardiotonic, respiration stimulation, depressor or vasopressor, topical anesthcsia, hallucination, striped muscle stimulation, antiasthmatic, antibacterial, antiinflammatory, anticancer, diuretic, immuno effects, etc. 4. Bufonis Venenum is largely divided in ether binding steroid compound, hydroxyl steroid compound, carboxyl or aldehyde steroid compound, indole compound, and adrenaline, cholesterole, etc. 5. Symptoms of Bufonis Venenum poisoning in digestive system are vommitig, abdominal pain, diarrhea, dehydration, in circulatory system are palpitation, shock, bradycardia, in nervous system are vertigo, somnolentia, muscle-tendon reflex weakness, and critical conditions to tissue necrosis and heart attack. 6. Ways to treat Bufonis Venenum poisoning include gastric irrigation with $0.2~0.5\%$ potassium permanganate fluid and atropine $0.5{\sim}1.0mg$ subcutaneous injection. From the chinese book of Bon Cho Gang Moke(本草綱目), if white serum of Bufonis Venenum enter the eyes, it happens the edema and pain. And then washed the eyes by juice of Lithospermi Radix(紫草) that the edema is removed. Conclusions and Discussion : The results from above literary studies show that prescriptions and Aqua-acupuncture of Bufonis Venenum could be clinically used to sedative, anticonvulsant, antibacterial, antiinflammatory, anticancer and topical ataralgesia. However it is expected that pharmacological and side effects of Bufonis Venenum are further studied.

A Case Series of Snake Venom Pharmacopuncture for Chemotherapy-Induced Peripheral Neuropathy: A Retrospective Observational Study

  • Song, Si Yeon;Bae, Kyeore;Shin, Kwhang Ho;Yoo, Hwa-Seung
    • Journal of Pharmacopuncture
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    • v.20 no.4
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    • pp.280-286
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    • 2017
  • Objective: This case series aims to report the efficacy and the safety of using snake venom pharmacopuncture (SVP) for chemotherapy-induced peripheral neuropathy (CIPN). Methods: Three heterogeneous cancer (1 endometrium, 1 cervix, and 1 prostate cancer) patients were referred to the East-West Cancer Center (EWCC), Dunsan Korean Medicine Hospital of Daejeon University, from August 02, 2017, to September 15, 2017, for treatment with SVP, and they were treated with SVP 4 times, 6 times, and 8 times, respectively. During the treatment period, the efficacy of SVP therapy was assessed by using the Numerical Rating Scale (NRS) and the Common Terminology Criteria for Adverse Events (CTCAE), and the stability was evaluated by using blood tests. Following each session, all patients were examined closely for any allergenic responses or adverse effects. Results: All patients showed noticeable improvements of their NRS and CTCAE scores. Except for bleeding and bruising at the SVP injection site, no major side effects were noted. One of the patients reported mild chilling and a sore throat after receiving the second treatment; those symptoms went away after a few hours. No hematologic toxicity, hepatotoxicity, or nephrotoxicity was found on the blood test. Conclusion: The results of this research suggest positive potential benefits of using SVP for treating patients with CIPN. Also, the excellent safety results of SVP seen in this research should lead to larger clinical trials aimed at developing SVP into a potential intervention for managing patients with the symptoms of CIPN.

Assessment of Nutritional Status and Factors Related to Smoking in Adolescent Males -II. Psychosocial Factors Influencing Smoking among Male High School Students- (남자 고등학생 흡연자의 영양상태 판정 및 흡연관련 요인분석 -II. 흡연과 관련된 사회심리적 요인에 대한 연구-)

  • 김경원;김소림;김정희
    • Korean Journal of Community Nutrition
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    • v.3 no.3
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    • pp.358-367
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    • 1998
  • The study purpose was to investigate psychosocial factors related to smoking among adolescent boys. The Theory of Planned Behavior provide the basis for the study. Twenty-five attitudinal beliefs, 9 normative beliefs and 20control beliefs were identified through questionnaire development. The data were analyzed using t-test and χ2-test. Thirty-three percent of 300 students were smokers. Most of the beliefs examined were significantly different between smokers(n=92) and nonsmokers(n=92). With respect to attitudinal beliefs, smokers responded less negatively on the items of bad health effects of smoking such as sore throat, headache, chest pain, risk of cancer and bad blood circulation(p<0.001), and decreased physical strength(p<0.05). Smokers believed less negatively on the items that smoking leads to bothering others, bad breath, yellow teeth and making them spend money(p<0.001). In contrast, smokers felt more positively on smoking as a means of stress management, relaxing, helping digestion(P<0.001). Smokers felt less pressure for not smoking from significant others. Especially mother, siblings, friends, girl friends, seniors of school were important sources of influence regarding subject's smoking. Smokers felt less confident in controlling the urge to smoke in several situations including; when they were with friends or asked to smoke by friends; after the meal, or drinking; when they were bored or stressed, upset, and when they felt unstable(p<0.001). Smokers also scored lower on specific skills to quit or control the urge to smoke as well as overall perceived control, compared to nonsmokers(p<0.001). These results suggest that interventions for adolescents incorporate diverse strategies to increase the perceived control over smoking in specific situations as well as overall perceived control, to help them realize and modify attitudinal beliefs, and to elicit support from significant others for not smoking. (Korean J Community Nutrition 3(3) : 358∼367,1998)

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Relationship between periodontal diseases and quality of life (치주질환자의 구강보건특성과 삶의 질의 관계)

  • Lee, Ji-Young;Kim, Gey-Pyo;Yu, Byeng-Chul
    • Journal of Korean society of Dental Hygiene
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    • v.13 no.5
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    • pp.835-843
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    • 2013
  • Objectives : The purpose of this study was to evaluate the chewing ability, oral-health related quality of life and factors in periodontal disease patients. Methods : Subjects were 111 patients having peridontal disease in 10 dental clinics in Busan and Gyeongsangnamdo. Questionnaire survey was carried out from July to August 2010. Questionnaire consisted of demographic characteristics, oral health factors, chewing ability and quality of life. Data were analyzed by descriptive analysis, t-test, ANOVA, correlation analysis, and multiple regression analysis using SAS(Ver 9.2) set at p<0.05. Results : Chewing ability was $44.85{\pm}8.8$, and their quality of life was $41.7{\pm}8.8$. Low level of quality of life was closely related to those factors as education, missing of more than 5 posterior teeth, certain subjective periodontal symptoms including swollen gums, sore gums, drifting gums, bad breath and toothache. The effective factors to the quality of life was chewing ability, bad breath and toothache. Conclusions : Chewing ability and quality of life were closely related each other. To enhance the quality of life, chewing ability should be improved. Proper treatment and effective method of management should also be properly considered to prevent the subjective periodontal symptoms and to minimize tooth loss.

u-Care system of urine and feces sensing intelligent type of USN basis (USN 기반의 대소변 감지 지능형 u-Care시스템)

  • Min, Byoung-won;Oh, Yong-sun;Lee, Hyeun-tae
    • Proceedings of the Korea Contents Association Conference
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    • 2008.05a
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    • pp.598-601
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    • 2008
  • The people, who can't deal with urine and feces by themselves because they can't recognize it, deal with urine and feces with help of protector (Or nurse). For the case of urine and feces, disease of ulcerated flesh of hip like unpleasant feeling, pressure sore, humid tetter due to wetness of diaper can be prevented by changing diaper instantly. However, those people can't be possible to express their opinion, so they can't express their opinion on urine and feces or endure sense of shame. So there is a problem which can't check presence of urine and feces instantly. Accordingly, in order to solve this problem, qualitative improvement of nursing service can be generated by developing u-Care product which instantly let know urine and feces to protector (Or nurse) by perceiving automatically, and benefit of welfare on social dependent class like low income old people and solitude old people can be increased by reducing social welfare expense with increment of nursing expense.

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An Agro-ecological Land Suitability Analysis Using GIS For Oil Palm Plantation in Southern Thailand

  • Dansagoonpon, Sutat;Tripathi, Nitin K;Borne, Frederic;Clemente, Roberto S.
    • Proceedings of the KSRS Conference
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    • 2003.11a
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    • pp.970-972
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    • 2003
  • Due to rapid increase in the demand of Natural Rubber (NR) few years ago, NR price sore very higher. The rubber plantation in Thailand expanded very fast to non traditional areas with the result Thai become the biggest NR exporting country in the world. However, the average yield is still lower compared to experimental yield of RRIT (Rubber Research Institute of Thailand) or just 60 % (RRIT, 1998). This is due to many of new rubber planting areas, which are not suitable. The Thai Ministry of Agriculture and Cooperatives thus has set 'The complete cycle development strategies for natural rubber' in the medium-term measures by reducing the rubber planting areas by 300,000 rai (1 rai = 0.16ha) through replanting with oil palm. The aim of this study is to find out land having lowest potential for rubber production (R3) but highest for oil palm production (P1). Find areas which are unsuitable for rubber and can be replaced by oil palm in order to get a better agricultural production. The study was applied upon Krabi province, Thailand. Crops requirement, degree of limitation to crops growth, climatic data, crops yield, soil map, topographic map etc., were used to evaluate land potential for both rubber and oil palm production according to FAO framework (Sys, 1992). An Agro-ecological suitability map for rubber and oil palm were produced. This was done by mean of GIS. The database was generated and guide map for the decision makers in view of suitable crop substitution was prepared.

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Various Designs of Gluteal Artery Perforator Flap for Buttock Reconstruction (둔부재건을 위한 천공지피판의 다양한 도안)

  • Hong, Seung Eun;Pyon, Jai Kyong
    • Archives of Plastic Surgery
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    • v.34 no.2
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    • pp.197-202
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    • 2007
  • Purpose: The gluteal artery perforator flaps earned its popularity in buttock reconstruction due to the lower morbidity of the donor site and the flexibility in the design. Speedy and safe reconstruction is important for the success of buttock reconstruction. If a proper design is selected, satisfactory results can be obtained with more simple method of surgery. Methods: Between April 2005 and April 2006, buttock reconstruction by using gluteal artery perforator flaps were performed on sacral sores(6 cases), ischial sores(2 cases) and malignant melanoma on buttock(1 case). Various designs depending on the location and the size of the defect was made. In those designs, perforator was used as an axis for the minimal dissection of the vessel. Donor site from which sufficient amount of soft tissue can be transferred was selected, and also not causing high tension against the recipient site during the donor site closure. In addition, postoperative aesthetics, and the possibility of another design of a second operation which can be necessary in the future, was considered. Results: Patient follow up was for a mean period of 10.8 months. All flaps survived except for one that had undergone partial necrosis. Wound dehiscence was observed in one patient treated by secondary closure. Most patients presented with cosmetically and functionally satisfying results Conclusion: By designing the flap using the perforator as an axis, depending on the defect size and degree, reconstruction can be performed with only a small tension to the donor and the recipient site. And the minimal perforator dissection allowed easier and faster reconstruction. Selection of a proper design is the key procedure which greatly affects operation time and result success.