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The effect of acupuncture for changing the levels of erythrocyte sedimentation rate, C-reactive protein and cytokines in the sera of rheumatoid arthritis patients (침 치료가 류머티즘성 관절염 환자의 혈액학적 지표 및 혈장 내 사이토카인에 미치는 영향)

  • Kim, Seung-Tae;Kim, Yun-Ju;Lee, Hyang-Sook;Choi, Sun-Mi;Yin, Chang-Shik;Lee, Ji-Young;Park, Hi-Joon;Lee, Hye-Jung
    • Korean Journal of Acupuncture
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    • v.26 no.2
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    • pp.27-38
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    • 2009
  • Objectives: Rheumatoid arthritis (RA) is a chronic autoimmune disease, principally characterized by synovial inflammation of the joints. We previously reported the effect of acupuncture for RA, but the mechanism is still unclear. Various factors such as oxidative stress and angiogenesis were involved in the pathogenesis of RA, and recently, it has also been reported that cytokines also play a major role in RA. Thus, we investigated whether acupuncture could induce any changes in the levels of cytokines including vascular endothelial growth factor (VEGF), angiogenin and epidermal growth factor (EGF) as well as erythrocyte sedimentation rate (ESR), c-reactive protein (CRP), and rheumatoid factor (RF) in the sera of RA patients. Methods: The forty three patients who met the American College of Rheumatology (ACR) criteria for RA recruited. The acupuncture group (n=21) underwent 14 sessions of partially individualized acupuncture treatment for 6 weeks, and the control group had no treatment (n=13) over the same periods. We evaluated ESR, CRP and RF. In addition, to find out the mechanism of acupuncture, we assessed the changes of the cytokine activities using protein cytokine array in the sera of the patients. Results: Acupuncture significantly decreased the levels of ESR and CRP, but RF were not changed after 6-week acupuncture treatments. Moreover, acupuncture reduced the levels of VEGF, angiogenin and EGF in the sera of the patients. Interestingly, they were related with angiogenesis, which is an important process in the pathogenesis of RA. The levels of oncostatin, interleukin(IL)-$1{\alpha}$, IL-8, leptin, monocyte chemotactic protein-1, macrophage-derived chemokine, macrophage inflammatory proteins-1, platelet-derived growth factor BB and RANTES were not changed significantly. Conclusions: The effect of acupuncture for reliving RA symptoms can be partially explained by inhibition of angiogenesis factors in the sera of the RA patients.

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Photosynthesis, Antioxidant Enzyme, and Anatomical Difference of Sedum kamtschaticum and Hosta longipes to Ozone (오존이 기린초와 비비추의 광합성, 항산화효소, 해부학적 구조에 미치는 영향)

  • Cheng, Hyo-Cheng;Woo, Su-Young;Lee, Seong-Han;Baek, Saeng-Geul
    • Horticultural Science & Technology
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    • v.28 no.3
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    • pp.394-402
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    • 2010
  • The objective of this study was to identify the effects of ozone on the two species in controlled environment. $Sedum$ $kamtschaticum$ and $Hosta$ $longipes$ were exposed in both control and ozone chamber to investigate photosynthesis, antioxidant enzyme activity, visible damage, the number and the size of stomata and the plastogloubuli. Ozone was fumigated in the concentration of $200{\mu}g{\cdot}kg^{-1}$ for 8 hours in a day (from 08:00 AM to 04:00 PM). Firstly, net photosynthesis of two species was decreased after ozone fumigation. Secondly, glutathione reductase activities showed significant difference between control and ozone treatment. Thirdly, visible symptoms of leaves were expressed such as chlorosis, necrosis and decoloration. Also, the size of stoma was significantly decreased in ozone-exposed plants. Furthermore, the intercellular space of $Hosta$ $longipes$ showed increased phenomenon because the mesophyll was collapsed. The number and the size of the plastogloubuli were significantly larger in ozone stress.

A Biomechanical Modeling of Human Pharyngeal Muscular Dysfunction by Using FEM(Finite Element Method) (유한요소법을 이용한 인두의 기능이상에 대한 생체역학적 모델)

  • Kim Sung Jae;Bae Ha Suk;Choi Byeong Cheol;Kim Sung Min
    • Journal of Biomedical Engineering Research
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    • v.24 no.6 s.81
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    • pp.515-522
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    • 2003
  • Pharynx is a system transporting foods by peristaltic motion(contraction and expansion movement! into the esophagus and functioning as airway passages. In this study, structural changes of pharyngeal dysfunction are analyzed by biomechanical model using CT and FEM(finite clement method). Loading condition was assumed that equal pressure was loaded sequentially to inside of pharyngeal tissue. In order to analyze the pharyngeal muscular dysfunction by biomechanical model. the pharyngeal dysfunctions was classified into 3 cases. Taking into account the clinical complication by neuromuscular symptoms such as pharyngeal dysfunction after stroke. we assumed that a change of material property is caused by muscular tissue stiffness. A deformation of cross sectional area of the pharynx is analyzed increasing the stiffness $25\%,\;50\%,\;75\%$ in each case on the basis of stress-strain relationship. Based on three-dimensional reconstruction of pharyngeal structure using limited factor - techniques and the optimization procedure by means of inverse dynamic approach. the biomechanical model of the human pharynx is implemented. The results may be used as clinical index illustrating the degree of pharyngeal muscular dysfunction. This study may be used as useful diagnostic model in discovering early deglutitory impediment caused by physiological or pathological pharyngeal dysfunction.

Systematic Review on Presbycusis Treated by Herbal Medicine Focusing on Kidney Deficiency (노인성 난청의 한약 치료에 대한 체계적 문헌고찰: 신허(腎虛)을 중점으로)

  • Lim, Hui-yeong;Jin, Han-Sol;Ko, Woo-Shin;Yoon, Hwa-Jung
    • The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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    • v.34 no.4
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    • pp.49-70
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    • 2021
  • Objectives : This study was conducted to approve the effectiveness and safety of herbal medicine on presbycusis with kidney deficiency. Methods : We searched randomized controlled trials(RCTs) on presbycusis patients diagnosed with kidney deficiency through 10 electronic databases from the start to Sep 7, 2021. Study collection and data extraction, and evaluation of risk of bias were conducted by two independent collaborator. The evaluation of the risk of bias in included RCTs was carried out by using Cochrane risk-of-bias tool. And the data synthesis was conducted by using Review Manager(RevMan, ver.5.4). Results : 1. The treatment group which used herbal medicine(HM) alone was more effective than the control group which used only western medicine(WM) on effective rate of hearing loss. 2. In 3 studies comparing the HM-WM combination treatment group with the control groups using the same WM treatment, the effective rate was statistically significantly higher in the HM-WM combination treatment group. 3. Of the 5 studies that reported adverse reactions, one study reported mild nausea and dizziness, but the difference between the HM treatment group and the WM control group was not statistically significant, and no side effects occurred in other 3 studies. 4. In studies comparing HM and WM, the HM treatment group improved hearing loss, whole blood viscosity, serum TNF-𝛼, IL-1𝛽, IL-6, and oxidative stress indicators better than the WM control group, and there was no significant difference. 5. In studies comparing the HM-WM treatment group with the WM control group, the severity of tinnitus, quality of life, and feelings of anxiety and depression were better in the treatment group than the control group. Conclusions : This study shows that the herbal medicine can improve symptoms of presbycusis with kidney deficiency.

Effect of sudden rise in underwater rescue activity on increase in reactive oxygen species (수난 구조 활동에서의 급상승이 활성산소 증가에 미치는영향)

  • Jeon, Jai-In
    • The Journal of the Convergence on Culture Technology
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    • v.8 no.5
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    • pp.541-546
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    • 2022
  • This study is to analyze the effect of rapid rise in the rescue activity of suffering on the increase of reactive oxygen species. There is no study that tested the change rate of reactive oxygen species according to the rapid rise in 119 rescue workers, so we want to check the symptoms that appear in rescue workers' bodies. There were 5 subjects, and B, C, and E showed similar values before and after diving: 0.41µmol/L, 0.11µmol/L, and 0.87µmol/L, respectively. However, in subject D, the level of active oxygen rise before and after diving was significantly higher at 1.41µmol/L, which is believed to be due to increased anxiety caused by poor underwater visibility and increased fatigue during rapid ascent after underwater rescue activities. Subject A showed a significantly low increase in active oxygen before and after diving at 0.07µmol/L. The reason seems to be that A is 54 years old and has the most diving experience among the test subjects, and it seems that it is the result of receiving less stress from the poor watch due to the abundant experience of rescue activities as a 119 rescue worker and the skillful underwater activities. Fatigue and anxiety were both high at 4. It is thought that the psychological tension during underwater activities increased fatigue, and the turbidity of the underwater vision raised anxiet.

Korean Firefighters' Work Experience and Risk Factors for Depression during the COVID-19 Pandemic (COVID-19 팬데믹 시대의 한국 소방공무원의 업무 실태와 우울증 위험 요인)

  • Park, Heyeon;Lee, Jihey;Min, Bumjun;Kim, Jeong-Hyun
    • The Journal of the Korea Contents Association
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    • v.22 no.5
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    • pp.446-455
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    • 2022
  • This study investigated work experience of firefighters and risk factors for their depression during COVID-19 pandemic. We analyzed data of 53,557 firefighters who participated in the online mental health status survey. Data included experiences of COVID-19 infection, experience of COVID-19 response work, fear of social stigma, and anxiety and depression symptoms. Results showed that 45.76% of participants had experience of COVID-19 response work. Emergency job group had the highest percentage of COVID-19 related work and the greater intensity of the work and fear of social stigma than those of other job groups. Hierarchical multiple regression showed that co-workers' infection, COVID-19 related work intensity and fear of social stigma were significantly associated to the severity of depression. The findings in this study demonstrated COVID-19 related work experience can link to the development of depression in firefighters. Effort to reduce COVID-19 related work intensity and fear of social stigma could help prevent depression among firefighters.

The Impact of Family Caregiving for the Elderly with Dementia on Depression in the United States: Does the Relationship of Caregivers to Care Recipients Matter? (미국 치매노인 부양자의 우울증에 영향을 미치는 요소: 배우자 부양자와 딸 부양자 비교 연구)

  • Baek, Ju-Hee;Zarit, Steven H.
    • 한국노년학
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    • v.29 no.4
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    • pp.1591-1609
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    • 2009
  • Adult child caregivers and spousal caregivers might deal with differential challenges. Studies about caregivers' psychological outcomes, however, tended to investigate associations between caregiving and its outcomes by pooling adult child caregivers and spousal caregivers together. By using a U. S. sample of family caregivers who assisted a relative with dementia, this study examined whether the relationship of caregivers to care receivers (daughter caregivers or spousal caregivers) made a difference in levels of depressive symptoms. The result showed that wife caregivers were more likely to be depressed than daughter caregivers. For daughter caregivers, role overload, role captivity, and behavior problems significantly influenced on depression. Besides these variables, the level of education was a significant predictor for wife caregivers. Role captivity and behavior problems significantly impacted on depression for husband caregivers. Thus, role captivity and behavioral problems were common predictors for all the caregivers. Specifically, higher levels of role captivity and behavioral problems were likely to make caregivers more depressed. The implication of these results were discussed.

Application of Near-Infrared Spectroscopy in Neurological Disorders: Especially in Orthostatic Intolerance (신경계 질환에서 근적외선분광분석법의 적용: 기립불내증을 중심으로)

  • Kim, Yoo Hwan;Paik, Seung-ho;Phillips V, Zephaniah;Seok, Hung Youl;Jeon, Nam-Joon;Kim, Beop-Min;Kim, Byung-Jo
    • Journal of the Korean neurological association
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    • v.35 no.1
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    • pp.8-15
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    • 2017
  • Near-infrared spectroscopy (NIRS), a noninvasive optical method, utilizes the characteristic absorption spectra of hemoglobin in the near-infrared range to provide information on cerebral hemodynamic changes in various clinical situations. NIRS monitoring have been used mainly to detect reduced perfusion of the brain during orthostatic stress for three common forms of orthostatic intolerance (OI); orthostatic hypotension, neurally mediated syncope, and postural orthostatic tachycardia syndrome. Autonomic function testing is an important diagnostic test to assess their autonomic nervous systems for patients with symptom of OI. However, these techniques cannot measure dynamic changes in cerebral blood flow. There are many experimentations about study of NIRS to reveal the pathophysiology of patients with OI. Research using NIRS in other neurologic diseases (stroke, epilepsy and migraine) are ongoing. NIRS have been experimentally used in all stages of stroke and may complement the established diagnostic and monitoring tools. NIRS also provide pathophysiological approach during rehabilitation and secondary prevention of stroke. The hemodynamic response to seizure has long been a topic for discussion in association with the neuronal damage resulting from convulsion. One critical issue when unpredictable events are to be detected is how continuous NIRS data are analyzed. Besides, NIRS studies targeting pathophysiological aspects of migraine may contribute to a deeper understanding of mechanisms relating to aura of migraine. NIRS monitoring may play an important role to trend regional hemodynamic distribution of flow in real time and also highlights the pathophysiology and management of not only patients with OI symptoms but also those with various neurologic diseases.

Single Dose Oral Toxicity Study of Cicadidae Periostracum Extracts in Sprague-Dawley Rats (선퇴 추출물의 Sprague-Dawley rat를 이용한 단회 경구 투여 독성시험)

  • Byung-Suk Jeon;Huiyeong Jeong;Sueun Lee;Yun-Soo Seo;Joong-Sun Kim;Hyeon Hwa Nam;Ji Hye Lee
    • The Korea Journal of Herbology
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    • v.39 no.3
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    • pp.107-114
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    • 2024
  • Objective : Cicadae Periostracum (CP), which is the discarded shell of the Cryptotympana atrata (Fabricius, 1775), is a recognized component of oriental medicine for treatment sore throat, itching, shock, sedation, edema. However, the safety and toxicity of CP have not yet been established. It has been reported that symptoms of addiction or side effects may occur in patients who take high doses of CP or who are hypersensitive to it. Therefore, we investigated the acute toxicity of an CP extracts in Sprague-Dawley (SD) rats. Methods : To study acute toxicity, five SD rats of each sex per group were treated with CP extracts at single doses of 0, 500, 1000, or 2000 mg/kg administrated by oral gavage, and body weight, clinical signs, and mortality were observed after dosing. At the end of 14-day observation period, all animals were sacrificed and complete hematological and macroscopic examinations were performed. Results : There were no dead animal and test article-related effects on body weight change or the gross finding. No toxicologically significant results were observed between control and treated groups in hematology. Although salivation related to stress at the highest dose was observed in clinical signs immediately after administration, it is considered to have no toxicological significance. Conclusion : As the results, we did not find any adverse effect at the dose levels of 500, 1000, or 2000 mg/kg in rats. The minimal lethal dose was considered to be over 2000 mg/kg body weight in rats.

Case Study on the Application and Evaluation of an Integrated Medical Service Model to Improve the Quality of Life for Breast Cancer Patients and Caregivers (유방암 환자와 보호자의 삶의 질 증진을 위한 통합의료서비스모델 적용평가 사례 연구)

  • Moon Joo Cheong;Do-Eun Lee;Un Jong Choi;Han Baek Cho;Hyung Won Kang
    • Journal of The Korean Society of Integrative Medicine
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    • v.12 no.3
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    • pp.163-178
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    • 2024
  • Purpose : This study aimed to evaluate the effectiveness of an integrative medical service model applied to breast cancer patients and their caregivers, exploring its feasibility and challenges within the context of South Korean healthcare system. Methods : A case study approach was chosen to assess the integrative medical service model's efficacy, involving one breast cancer patient and her primary caregiver from W University Hospital. The patient had completed reconstructive surgery and chemotherapy and was undergoing radiotherapy. The model included standard treatments alongside psychological counseling, aromatherapy, axillary rehabilitation exercise, make-up program, art therapy, laughter therapy, horticultural therapy, and yoga programs, and meditation programs delivered over eight weeks. Quantitative and qualitative data were collected through surveys, psychological tests, and feedback assessments. Results : The integrative medical service model demonstrated notable improvements in the quality of life for both breast cancer patients and their caregivers. Participants reported enhanced emotional well-being, reduced stress levels, and improved coping mechanisms throughout the treatment journey. Qualitative feedback highlighted the positive impact of holistic interventions in alleviating psychological distress and fostering resilience. Quantitative data corroborated these findings, showing statistically significant improvements in various psychosocial parameters assessed. Conclusions : Our findings underscore the benefits of integrative medical service model with standard medical treatments in the care of breast cancer patients and their caregivers. The holistic approach not only addresses physical symptoms but also enhances overall well-being and quality of life. However, the implementation of such models faces challenges within the South Korean healthcare system, including fragmented service networks and financial constraints. Addressing these structural barriers is crucial for the widespread adoption and sustainability of integrative care models in oncology practice. Future research should focus on larger-scale studies to further validate these findings and inform policy decisions aimed at optimizing cancer care delivery.