• Title/Summary/Keyword: Symptom development

검색결과 648건 처리시간 0.027초

소아약증직결(小兒藥證直訣)의 처방분석(處方分析) (Analyses of Formulas in "Key to Therapeutics of Children's Diseases (小兒藥證直訣)")

  • 조현진;박기정;박선동
    • 대한한의학방제학회지
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    • 제19권2호
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    • pp.119-133
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    • 2011
  • Objectives : This study aimed to reveal the characteristics of formulas in "Key to Therapeutics of Children's Diseases" by analysis of crude drugs that constitute formulas. Methods : To analyze the formulas, We classified the formulas to presenting symptom classification. And within that categories, the crude drugs in formulas were diagrammatized. Results : After those analyses, we brought a conclusion as like these. 1. The formulas classified into some categories that include chronic consumption disease, parasitization, digestive system disease, febricity, infectious disease, respiratory disease, skin disease, infirmity and etc. 2. We analyzed the characteristic of formulas by categorization of crude drug combination. In this way, we recognized that Qian Yi(錢乙) frequently used cold crude drugs unlike the trend of S$\grave{o}$ng(宋) dynasty doctors. 3. The prescription that described in "Key to Therapeutics of Children's Diseases" can be found in "Treasured Mirror of Eastern Medicine(東醫寶鑑)" and the other books on posterity. Conclusions : Through these researches, we verified that Qian Yi affect cold herbal and mineral drugs. This tendency of Qian Yi have an effect on the Nourish yin school. And several decades of formulas of "Key to Therapeutics of Children's Diseases" contain in part of pediatrics on "Treasured Mirror of Eastern Medicine". We reconfirmed that Qian Yi affected profound influence on the development of pediatrics and Nourish yin school.

팔정산(八正散)으로 하부요로증상이 호전된 양성전립선비대증 환자 4례 (Report of Four Cases of Paljung-san on Lower Urinary Tract Symptoms in Patients with Benign Prostatic Hyperplasia)

  • 송문구;박성환;강지석;안영민;안세영;김영옥;이병철
    • 대한한의학회지
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    • 제31권1호
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    • pp.153-161
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    • 2010
  • Objective: The primary objective of this study was to evaluate the effect of Paljung-san on lower urinary tract symptoms (LUTS) in patients with benign prostatic hyperplasia (BPH). Methods: We researched four men with BPH and LUTS, who were treated 3 times a day for 10 days with Paljung-san. The International Prostate Symptom Score (IPSS) and post void residual urine (PVR) were evaluated. Results: The mean decrease in IPSS total score was 13 points (P=0.007, Mann-Whitney test). The reduction of IPSS was more prominent in the obstructive subscore but was not significant (P=0.057, Mann-Whitney test). Furthermore, Paljung-san reduced PVR. Conclusions: After the 10-day treatment period, Paljung-san improved total IPSS score, especially in the obstructive subscale score, and reduced post void residual urine.

단일만성질환과 복합만성질환 의료급여수급자의 사례관리요구도 비교 (Comparing the Needs of Case Management between Medical Aid Beneficiaries with Simple and Multiple Chronic Diseases)

  • 안양희;서연옥;함옥경;김희경
    • 재활간호학회지
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    • 제18권2호
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    • pp.98-106
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    • 2015
  • Purpose: The purpose of this study was to compare the needs of case management between Medical aid beneficiaries with simple and multiple chronic diseases (SCD vs MCD). Methods: The study employed secondary analysis method using a cross-sectional data from 2009 case management service enrollees. Data on 35,862 beneficiaries who have chronic disease(s) were used in the description of chronic disease characteristics, and data on 20,392 beneficiaries, excluding those who have depression and/or disabilities, were used to compare the group differences. Results: Mean age was $68.8{\pm}11.63years$, and 73.3% were females. MCD group showed an older age, had more women than SCD group. Self-care ability and appropriateness of health care utilization were significantly different between the groups, but there was no difference in health-related quality of life. In subscales, there were significant differences in general health status, depression, symptom management, healthy lifestyle, hygiene and vaccination, and appropriateness of health utilization. Conclusion: Different characteristics between patients with simple and multiple chronic diseases indicate that different case management approaches are required for these groups. The study results could be used as a basis for the development of case management model tailored to the characteristics and needs of medical-aid beneficiaries.

비침습적 초음파 조직 탄성도 측정 시스템 개발 (Development of a Non-invasive Ultrasonic Measurement System for tissue elasticity)

  • 이균정;최우혁;유재원;서종범;최서형;신태민
    • 대한의용생체공학회:의공학회지
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    • 제30권6호
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    • pp.469-475
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    • 2009
  • Diseases caused by indurate tissues of the internal organs are liver cirrhosis and abdominal sclerosis. The cause of chronic gastro-intestinal disease is a digestive system disorder and a defecation disorder. They impede peristaltic movement and digestive system with the symptom that indurate tissues. The purpose of the present study was to determine the disease grade quantitatively by measuring an indurated standard of tissues and organs. For the measurement of elasticity, we designed the system that measure the displacement of the substance and approved pressure using ultrasound transducer. For verification of developed system, we compared elasticity as results of experiment between the developed system and public elasticity measurement machine at individual plastic phantoms made by plastic hardener and softener. Elasticity of the plastic phantoms is averagely 0.007MPa lower measured by developed system than Micro-indenter, and less than 10% errors. Comparing with economical value and accuracy between developed system and Micro-indenter, the system is significant of measurement for tissue elasticity. Thus, it is possible to measure a elasticity at human tissue and organ. A chronic gastro-disease as well as grade could be decided objective validity using this system.

급성복통을 동반한 소아의 척추 경막외 농양 1예 (Acute Spinal Epidural Abscess Presenting with Abdominal Pain in a Child)

  • 정은영;이연경;김석헌;공병구;김광우;박영수;김동원
    • Pediatric Infection and Vaccine
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    • 제8권1호
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    • pp.107-113
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    • 2001
  • 저자들은 발열과 복통을 주소로 입원한 환아에서 연속적으로 요통 및 둔부 동통을 보여 실시한 자기 공명촬영상 요추 부위의 척추 경막외 농양을 진단하고 수술하였기에 문헌 고찰과 함께 보고하는 바이다.

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Suppression of UDP-glycosyltransferase-coding Arabidopsis thaliana UGT74E2 Gene Expression Leads to Increased Resistance to Psuedomonas syringae pv. tomato DC3000 Infection

  • Park, Hyo-Jun;Kwon, Chang-Seob;Woo, Joo-Yong;Lee, Gil-Je;Kim, Young-Jin;Paek, Kyung-Hee
    • The Plant Pathology Journal
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    • 제27권2호
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    • pp.170-182
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    • 2011
  • Plants possess multiple resistance mechanisms that protect themselves against pathogen attack. To identify unknown components of the defense machinery in Arabidopsis, gene-expression changes were monitored in Arabidopsis thaliana under 18 different biotic or abiotic conditions using a DNA microarray representing approximately 25% of all Arabidopsis thaliana genes (www.genevestigator.com). Seventeen genes which are early responsive to salicylic acid (SA) treatment as well as pathogen infection were selected and their T-DNA insertion mutants were obtained from SALK institute. To elucidate the role of each gene in defense response, bacterial pathogen Pseudomonas syringae pv. tomato (Pst) DC3000 was inoculated onto individual T-DNA insertion mutants. Four mutants exhibited decreased resistance and five mutants displayed significantly enhanced resistance against Pst DC3000-infection as measured by change in symptom development as compared to wild-type plants. Among them, member of uridin diphosphate (UDP)-glycosyltransferase (UGT) was of particular interest, since a UGT mutant (At1g05680) showed enhanced resistance to Pst-infection in Arabidopsis. In systemic acquired resistance (SAR) assay, this mutant showed enhanced activation of SAR. Also, the enhanced SAR correlated with increased expression of defense-related gene, AtPR1. These results emphasize that the glycosylation of UGT74E2 is a part of the SA-mediated disease-resistance mechanism.

혈관수술에 대한 임상적 고찰 (Clinical Experience with Vascular Surgery)

  • 김현경
    • Journal of Chest Surgery
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    • 제25권12호
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    • pp.1570-1577
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    • 1992
  • The vascular surgery is the field that has developed in early 20 century and is progressing nowadays. Recent advance in surgical technique accompanying with excellent medical diagnosis and treatment, prompt angiographic usage, development of variable prosthetic material, and concomitant use of anti-coagulant have made remarkable results of vascular surgery. 83 cases of vascular surgery have been performed at Thoracic and Cardiovascular Surgery Department of Pusan National Unversity Hosaital since 1971 till 1990, for 20 years and their results are followed. Patient ductus arteriosus and Buerger`s disease were omited in this study. 1. The age distribution shows that the fifth and sixth decades are most frequently affected and mean age was 56.1 years old. Male to female ratio is 1: 2.32. 2. Among the 83 cases of all, number of occlusive vascular disease is 46 and that of aneurysmal disease is 33. 3. In clinical manifestation, most common symptom of occlusive disease is pulselessness and pain was next. Mass sensation is most commonly complained by patients of aneurysmal disease. 4. CT scan was more important in diagnosis of aneurysmal diseases and angiogram was more commonly used in occlusive diseases. 5. The common site of arterial occlusion was common iliac artery, femoral artery, aortic bifurcation, and external iliac artery, as its frequency rate. The most commonly affecting portion of aortic aneurysm was abdminal aorta, and descending thoracic aorta and femoral artery were next 6. Preoperative associated diseases were atherosclerosis[41 cases], hypertension[21 cases], valvular heart disease[11 cases], and diabetes mellitus[9 cases], etc, 7. Operative methods in ocllusive diseases were thrombectomy[36.9%], endarterectomy [10.9%], and bypass graft insertion[52.7%]. Among the bypass graft, Y-graft was used in 7 case, straight graft was used in 17 cases, and saphenous venous graft was used in 2 cases. 8. Postoperative complications were developed in 17 cases, and morbidity rate was 36. 9. Eleven patient were died within 1 month after operation, so operative mortality rate was 13.3%. 10. Duration of patency was beteween 7 and 58 months[average 27.5 months] in occlusive diseases and their 5-year patency rate was 56.3%. Duration of patency of aneurysmal disease was 20 months in aveage and their 5-year patency rate was 51.3%. 11. Patients of eleven cases of occlusive disease and two cases of aneurysmal disease required reoperation for variable reason. 12. 35 cases of patient have used anticoagulants: coumadin, ticlid, and persanthin-ASA combination.

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무균성 수막염 환자의 뇌척수액 채취 시기와 장바이러스 RNA 검출과의 관계 (Relation of Sampling Time to the Detection of Enteroviral RNA in Cerebrospinal Fluid from the Patients with Aseptic Meningitis)

  • 이규만;박순영;강희정;이은희
    • Pediatric Infection and Vaccine
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    • 제3권2호
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    • pp.163-167
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    • 1996
  • Aseptic meningitis, the most common infection of the central nervous system, is an acute illness mostly caused by enteroviruses. Cerebrospinal fluid(CSF) has been used for the detection of enteroviral RNA but the detection has been mostly performed in a single CSF specimen obtained during the illness. A major objective was to evaluate the relation of sampling time to the recovery of enteroviral RNA in CSF. Thirty seven CSF specimens were obtained from 24 patients between May and August 1993, when an outbreak of asceptic meningitis by echovirus type 9 occurred. Enteroviral RNA in CSF was detected by polymerase chain reaction(PCR). Data about onset of symptom development were obtained by review of medical records. Enteroviral RNA was detected by PCR in 29 of 37 CSF specimens. PCR yielded positive results in 4 of 5 CSF specimens obtained on day 1 to 3, 10 of 11 on day 4 to 6, 8 of 10 on day 7 to 9, 6 of 8 on day 10 to 12, 1 of 3 on day 13 to 15 postonset. Of 11 patients from each of whom more than one CSF were obtained on different day postonset, PCR yielded positive resutls in 2 of 3 cases in whom enteroviral RNA detection was negative in the first CSF. These results indicate that two or more CSF specimens obtained within 12 days postonset are required for improving the accuracy of the diagnosis of enteroviral meningitis.

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계면활성제의 TMV 감염저지 효과 (Inhibitory Activity of Surfactants against Tobacco Mosaic Virus Infection)

  • 박은경
    • 한국연초학회지
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    • 제11권1호
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    • pp.11-17
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    • 1989
  • $AOS(\alpha-olefin),$ LAS(linear alkyl benzene), OSS(dioctyl sulfosuccinate) 및 SAS (dodecyl benzene sulfonic acid)등 4종 계면활성제의 TMV 감염저지 효과를 잎담배 품종 Xan-thi-nc 및 NC 82를 이용하여 조사하였다. 각 계면활성제를 2,500ppm 농도로 담배잎에 처리한 경우 바이러스(TMV) 또는 TMV RNA를 접종했을 때 모두 98% 이상의 감염저지 효과를 나타냈다. 그러나 이들을 담배 근권토양에 처리 3일후 잎에 Virus를 접종하여 병징 및 엽중 Virus 농도를 조사한 결과 무처리구와 차이가 없어 침투이행에 의한 TMV 감염저지 효과는 인정되지 않았다. 순화된 바이러스를 각 계면활성제 2,500ppm 용액과 혼합한 후 초고속원심분리에 의해 다시 Virus를 회수하여 활성을 조사한 결과 LAS는 96% 이상 Virus를 불활성화시켰으며, 이 외는 바이러스 활성에 영향을 미치지 못했다. 또 각 계면활성제가 처리된 Virus 입자의 형태는 무처리입자와 차이가 없었다. 이같은 결과들로 미루어 4종의 계면활성제가 나타낸 TMV 감염저지 효과는 바이러스 입자의 파괴 또는 감염초기 바이러스 입자의 외피 단백질 탈피억제에 의한 것이 아닌 것으로 판단된다.

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기능성 소화불량증 변증도구 개발 연구 (Development of Instrument of Pattern Identification for Functional Dyspepsia)

  • 김증배;김진희;손창규;강위창;조정효
    • 동의생리병리학회지
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    • 제24권6호
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    • pp.1094-1098
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    • 2010
  • With the high prevalence of functional dyspepsia in the world, it was difficult to get objective diagnosis, treatment and assessment for the reason that there were many different symptoms and signs. The purpose of this study is to develop a standard instrument of pattern identification for functional dyspepsia which will be applied to clinical research. The items and structure of the instrument were based on review of published literature. The advisor committee on this study was organized by 11 oriental division of gastroenterology professors of oriental medical colleges nationwide. The experts discussed developing the instrument, and we also took professional advices by e-mail. We divided the symptoms and signs of functional dyspepsia into 6 pattern identification, such as disharmony of liver and stomach, retention of undigested food, damp-heat in the spleen and stomach, simultaneous occurrence of cold and heat syndromes, deficiency and cold of the spleen and the stomach, and insufficiency of stomach eum. We got the mean weights to each symptom of six pattern identification which had been scored on a 5-point scale ranging from 1 to 5 by the 11 experts. We made out the Korean instrument of the pattern identification composed of 45 questions for functional dyspepsia. Although there are some limitations in our study, the instrument is meaningful and certain worth of its own. We hope to improve the instrument through the further clinical studies and discussions.