• 제목/요약/키워드: Treatment knowledge

검색결과 1,973건 처리시간 0.035초

Black ginseng extract ameliorates hypercholesterolemia in rats

  • Saba, Evelyn;Jeon, Bo Ra;Jeong, Da-Hye;Lee, Kija;Goo, Youn-Kyoung;Kim, Seung-Hyung;Sung, Chang-Keun;Roh, Seong-Soo;Kim, Sung Dae;Kim, Hyun-Kyoung;Rhee, Man-Hee
    • Journal of Ginseng Research
    • /
    • 제40권2호
    • /
    • pp.160-168
    • /
    • 2016
  • Background: Ginseng (Panax ginseng Meyer) is a well-characterized medicinal herb listed in the classic oriental herbal dictionary as "Shin-nong-bon-cho-kyung." Ginseng has diverse pharmacologic and therapeutic properties. Black ginseng (BG, Ginseng Radix nigra) is produced by repeatedly steaming fresh ginseng nine times. Studies of BG have shown that prolonged heat treatment enhances the antioxidant activity with increased radical scavenging activity. Several recent studies have showed the effects of BG on increased lipid profiles in mice. In this study report the effects of water and ethanol extracts of BG on hypercholesterolemia in rats. To our knowledge, this is the first time such an effect has been reported. Methods: Experiments were conducted on male Sprague Dawley rats fed with a high-cholesterol diet supplemented with the water and ethanol extracts of BG (200 mg/kg). Their blood cholesterol levels, serum white blood cell levels, and cholesterol-metabolizing marker genes messenger RNA (mRNA) expression were determined. Liver and adipose tissues were histologically analyzed. Results: We found that BG extracts efficiently reduced the total serum cholesterol levels, low-density lipoprotein (LDL) levels with increased food efficiency ratio and increased number of neutrophil cells. It also attenuated the key genes responsible for lipogenesis, that is, acetyl-coenzyme A (CoA) acetyltransferase 2, 3-hydroxy-3-methyl-glutaryl-CoA reductase, and sterol regulatory element-binding protein 2, at the mRNA level inside liver cells. Furthermore, the BG extract also reduced the accumulation of fat in adipose tissues, and inhibited the neutral fat content in liver cells stained with hematoxylin and eosin and oil red O. Conclusion: Administration of BG extracts to Sprague Dawley rats fed with high-cholesterol diet ameliorated hypercholesterolemia, which was mediated via modulation of cholesterol-metabolizing marker genes. This data throw a light on BG's cardioprotective effects.

20, 30대 한국 남성의 전두부 모발선의 모양과 위치 (The Shape and the Location of Forehead Hairline of Korean Males in Their 20s & 30s)

  • 윤성원;김정헌
    • Archives of Plastic Surgery
    • /
    • 제38권3호
    • /
    • pp.295-299
    • /
    • 2011
  • Purpose: It is generally believed that alopecia is caused by various factors such as scars, stress, genetical factors, androgens, etc. Androgenic alopecia is one of the most common cause of alopecia and found mainly in males. Propecia (Merck & Co., USA) and Minoxidil (McNEIL-PPC, Inc, USA) were the drugs approved from FDA for treatment of androgenic alopecia. Surgical treatments such as flap, tissue expansion, scalp reduction and hair transplantation can be considered if necessary. Hair micrograft techniques were developed for natural hair shapes and minimal adverse effect. There were attempts to measure the length of the forehead of the Korean young adults. However attempts to classify the shape and location of forehead hairline were rare. This study attempted to find out standard hairlines of young adults in their 20s & 30s and the result would be the guideline of the hairline in hair replacement surgery of male patients in their 40s & 50s. Methods: 200 male adults in 20s and 30s were photographed and measured the length of 11 vertical index lines to determine hairline. The indexes are the distances from hairline to intercanthal midpoint (A), to medial canthus (B), to upper eyelid fissure (C), to lower eyelid fissure (D), to lateral canthus (E) and distance from lateral highest point to medial lowest point, if the hairline is M-shape (F). Additionally, we classified the hairlines into 4 groups, M, horizontal, inverted U and irregular shapes. Results: The most common hairline of male adults in their 20s is inverted U-shape (53.3%), followed by horizontal-shape, M-shape, irregular-shape. In their 30s, inverted U-shape (59%) is followed by irregular-shape, M-shape, horizontal-shape. The M-shape is more frequently found in males in 30s than those in 20s. The mean values of the indexes in their 20s are as follows: A (76.14 mm), B (Rt: 75.78 mm, Lt:76.41 mm), C (Rt: 69.43 mm, Lt: 69.92 mm), D (Rt: 76.92 mm, Lt:77.46 mm), E (Rt: 64.16 mm, Lt: 64.73 mm), F (4.09 mm). Those in their 30s are as follows: A (76.13 mm), B (Rt: 76.114 mm, Lt: 76.02 mm), C (Rt: 69.87 mm, Lt: 70.37 mm), D (Rt: 77.37 mm, Lt: 77.58 mm), E (Rt: 69.63 mm, Lt: 69.85 mm), F (6.14 mm). Conclusion: The knowledge about human body measurement is indispensable to plastic surgeons. In this study, inverted U shape is the most common type of hairline in 30s, and similar distribution is found in 20s. The percentage of M shape in their 30s is elevated more than 10% compared to that in their 20s. The study of hairline shapes and 11 indexes of hairlines can be useful for planning of the hair transplantation and postoperative evaluation. This study being based on photogrammetry, there may be differences between actual distance of curved face and projected distance on flat photographs.

한국의 서울에 사는 길 고양이와 집 고양이에서 고양이 범백혈구감소증 바이러스의 유병률 (Prevalence of Feline Panleukopenia Virus in Stray and Household Cats in Seoul, Korea)

  • 김승곤;이교임;김하정;박희명
    • 한국임상수의학회지
    • /
    • 제30권5호
    • /
    • pp.333-338
    • /
    • 2013
  • 우리는 한국의 서울에 있는 다른 지역에 사는 길 고양이와 집 고양이의 범백혈구감소증 바이러스의 유병률을 조사하였다. 혈액 샘플은 200마리 고양이 (길 고양이 100마리와 집 고양이)에서 수집하였으며 모든 샘플은 중합효소 반응검사를 실시하였다. 전체적인 고양이 범백혈구감소증 바이러스의 유병률은 2%이다. 검사를 통해 양성 고양이 중 3% (100 분의 3)은 길 고양이이며 1% (100분의 1)은 집 고양이였다. 고양이 백혈구감소증 바이러스의 발생은 성묘 (1살이상, 0.5%) 보다 자묘 (1살이내, 1.5%)에서 더 높았다. 건강한 고양이의 양성률은 1.8% (3/166)이며 아픈 고양이의 양성률은 2.2% (1/44)이다. 예방 접종한 고양이의 양성률은 1.3% (1/77)이었고 예방 접종하지 않은 고양이의 양성률은 2.3% (3/133)이다. 항체검사와 비교시 고양이 범백혈구 바이러스 항원의 검출은 길 고양이와 집 고양이의 현재 질병 감염 상태를 암시할 수 있다. 따라서 항원검사는 질병의 진단과 치료에 도움을 줄 수 있다. 결론적으로 우리의 연구는 현재까지 서울에서 고양이 범백혈구감소증 바이러스의 유병률을 평가한 적이 없었기 때문에 비교적 중요하다. 고양이 범백혈구감소증 바이러스의 유병률은 길 고양이와 어린 고양이에서 높았다. 따라서 고양이 범백혈구감소증 바이러스 발생을 예방하기 위해서는 적절한 예방접종과 감시가 중요하다.

민간경비원의 질문.검색 요령 교육훈련에 관한 개선방안 (The Improvement Method of "Question and Research Guides" Training for Private Security)

  • 김창호;오재환
    • 시큐리티연구
    • /
    • 제19호
    • /
    • pp.43-66
    • /
    • 2009
  • 민간경비 산업의 질적인 성장을 위해서는 체계적인 교육훈련을 통한 민간경비 종사자의 자질을 향상시켜야 한다. 민간경비 종사자가 교육 훈련시 배운 지식, 기술 등을 현장 근무지에 서 활용하여 세련된 서비스를 제공한다면 국민들로 하여금 신뢰를 확보할 수 있다. 이러한 측면에서 볼 때, 실용적이고 체계적인 교육훈련은 민간경비 산업의 부흥과 밀접하게 관련되어 있다. 민간경비 종사자는 현장에서 상근자 등 다수의 출입자를 대면하게 된다. 따라서 현장에서의 단순히 친절한 서비스 제공의 소극적인 근무보다는 과학적인 관찰기법과 체계적인 질문기법을 통한 거동수상자로 하여금 추가 범죄를 예방할 수 있는 적극적 개념의 근무를 해야 한다. 이에 본 연구에서는 현행 민간경비 신임직원 교육훈련 중 '질문 검색 요령'의 개선된 프로그램을 모형을 제시하였다. 세부적으로 모리스 교수의 '피플워칭'연구 중에서 인간행동의 특징을 통한 과학적인 관찰 기준표와 미국의 FBI, 경찰 등의 수사기관이 받고 있는 리드테크닉 중에서 '행동촉발질문', 그리고 인간의 미세표정을 통한 감정 포착 훈련프로그램인 'METT'를 '질문 검색요령'교육훈련에 적용하는 방안을 제시하였다. 이는 실습위주의 훈련프로그램으로서 실무에 적용 가능한 내용으로 교육생의 교육 분위기를 조성해 줄 것이며, 현장에서 과학적인 근무를 통한 세련된 현장조치를 통한 대국민 신뢰를 확보하여 민간경비 산업의 발전에 도움이 될 것이다.

  • PDF

119구급대원의 업무스트레스와 피로 및 직무만족도에 관한 연구 (A Study on Job Stress, Fatigue and Job Satisfaction of 119 Emergency Medical Technician)

  • 박대성
    • 한국응급구조학회지
    • /
    • 제8권1호
    • /
    • pp.71-86
    • /
    • 2004
  • This study selected emergency medical technicians at 24 fire police boxes in Jeonnam in order to examine the relationship between job stress, fatigue and job satisfaction of 119 emergency medical technicians. Data were collected from Apr. 10 to May 9, 2004, questionnaires were mailed and returned by mail. Total 109 questionnaires were distributed and 89 questionnaires were collected and 80 except 9 omitting answers and showing inappropriate answers were used for final analysis. The results of this study are as follows. A. The total mean of areas composing job stress in the degree of job stress of 119 emergency medical technicians was over the average as 2.54 (SD .44) of 4 full marks. According to the degree of job stress by each area, the highest area of job stress was crisis situation (2.98), followed by role conflict as professional job (2.58), social factors (2.57), involvement in organization (2.55). To the contrary, the areas of the lowest job stress were professional knowledge and technique (2.35), psychological burden of medical limitation (2.38), conflicts in personal relationship and services (2.45) and improper treatment (2.53). B. The degree of fatigue of 119 emergency medical technicians by areas was over mean as 2.09(SD .49) of 4 full scores and physical fatigue was highest (2.18), followed by mental fatigue (2.11) and neurosensory fatigue (1.99). C. The degree of job satisfaction of 119 emergency medical technicians was 2.71 of 5 full scores and working condition area (3.70) showed the highest job satisfaction, followed by requirement of organization (2.85) and the lowest job satisfaction area was job itself (2.18), followed by desire for job (2.49). D. According to differences in demographical characteristics of 119 emergency medical technicians, there was no variable of statistical difference at job stress and job satisfaction in significance level .05, but fatigue showed statistical difference at final education (F=2.393, p=.046). E. According to differences related to job characteristics of 119 emergency medical technicians, job stress showed statistical differences at motif of current services (F=4.935, p=.003), fatigue showed those at health conditions (F=2.732, p=.008), job satisfaction at overtime (F=3.038, p.034) and the greatest reason of having job (F=3.217, p=.017), F. As a result of analyzing correlations between job stress. fatigue and job satisfaction of the subject, job stress showed positive correlations (r=.411, p=.000) with fatigue and negative correlation (r=-.267, p=.008) with job satisfaction. Fatigue showed negative correlation (r=-.287, p=.005) with job satisfaction. Therefore, the hypothesis of this study. "There will be relationship between degree of stress, fatigue and job satisfaction of subjects." was supported.

  • PDF

Descriptive Report on Pattern of Variation in Cancer Cases within Selected Ethnic Groups in Kamrup Urban District of Assam, 2009-2011

  • Sharma, Jagannath Dev;Kalita, Manoj;Barbhuiya, Jamil Ahmed;Lahon, Ranjan;Sharma, Arpita;Barman, Debanjana;Kataki, Amal Chandra;Roy, Barsha Deka
    • Asian Pacific Journal of Cancer Prevention
    • /
    • 제15권15호
    • /
    • pp.6381-6386
    • /
    • 2014
  • Background: The global burden of cancer is continuously increasing. According to recent report of the National Cancer Registry Programme (NCRP) on time trends it is estimated that future burden of cancer cases for India in 2020 will be 1,320,928. It is well known that knowledge of the incidence of cancer is a fundamental requirement of rational planning and monitoring of cancer control programs. It would help health planners to formulate public health policy if relevant ethnic groups were considered. North East-India alone contains over 160 Scheduled Tribes and 400 other sub-tribal communities and groups, whose cancer incidence rates are high compared to mainland India. As since no previous study was done focusing on ethnicity, the present investigation was performed. Materials and Methods: In this paper PBCR-Guwahati data on all cancer registrations from January 2009 to December 2011 for residents of the Kamrup Urban District, comprising an area of 261.8 sq. km with a total population of 900,518, including individual records with information on sex, age, ethnicity and cancer site are provided. Descriptive statistics including age adjusted rates (AARs) were taken as provided by NCRP. For comparison of proportional incidence ratios (PIR) the Student's t test was used, with p<0.05 considered as statistically significant. Results and Conclusions: Differences in leading sites of Kamrup Urban District since from the beginning of the PBCR-Guwahati were revealed among different ethnic groups by this study. The results should help policy makers to formulate different strategies to control the level of burden as well as for treatment planning. This study also suggests that age is an important factor of cancer among different ethnic populations as well as for overall population of Kamrup District of Assam.

간호실무에서 신봉이론(Espoused theories)에 대한 탐색적 연구 (Investigation of Espoused Theories in Nursing Practice)

  • 서문자;김혜숙;이은희;박영숙;조경숙;강현숙;임난영;김주현;이소우;조복희;이명화;지성애;하양숙;손영희;권성복;김희진;추진아
    • 성인간호학회지
    • /
    • 제13권1호
    • /
    • pp.53-69
    • /
    • 2001
  • As a nursing practice involves nurses'actions in a specific context of health care, this study has focused on exploring the espoused theories in nursing practice within the action science perspectives. Espoused theories are the belief, principles, and rationale expressed by the practitioner as guiding her/his actions in a situation of practice. The data were analysed qualitatively and 25 elements of espoused theories of nursing action were identified and clustered into 6 categories. The 25 elements of espoused theories are as follows: The clinical nurse worked in wholistic and individual nursing, focussed on the patient's needed, comfort and supportive nursing (5 theories of nursing goal); excellent skills, knowledge based, assessment and data collection, explaining, educating or a scientific basis(6 theories of nursing intervention): advocacy, value oriented, treatment, accountability and commitment(4 theories of nursing ethics); human respect, partnership, trust(3 theories of patient-nurse relationship) : knowledgable, accumulated clinical experiences and personally lived experiences, positive perspectives(4 theories of nurse), role of intervention, rewarding, peer relationship(3 theories of situations). The above mentioned espoused theories are similar to that of nursing textbooks which students learned through basic nursing education and almost the same as the Acts ofa Nurse in Korean. However, we are doubtful whether nurses actually do as they think. Therefore, it is recommended to review the theories-in-use in order to find any discrepancies between the espoused theories and the reality of nursing actions.

  • PDF

Diagnostic Value of Endorectal Ultrasound in Preoperative Assessment of Lymph Node Involvement in Colorectal Cancer: a Meta-analysis

  • Li, Li;Chen, Shi;Wang, Ke;Huang, Jiao;Liu, Li;Wei, Sheng;Gao, Hong-Yu
    • Asian Pacific Journal of Cancer Prevention
    • /
    • 제16권8호
    • /
    • pp.3485-3491
    • /
    • 2015
  • Background: Nodal invasion by colorectal cancer is a critical determinant in estimating patient survival and in choosing appropriate preoperative treatment. The present meta-analysis was designed to evaluate the diagnostic value of endorectal ultrasound (EUS) in preoperative assessment of lymph node involvement in colorectal cancer. Materials and Methods: We systematically searched PubMed, Web of Science, Embase, and China National Knowledge Infrastructure (CNKI) databases for relevant studies published on or before December 10th, 2014. The sensitivity, specificity, likelihood ratios, diagnostic odds ratio (DOR) and area under the summary receiver operating characteristics curve (AUC) were assessed to estimate the diagnostic value of EUS. Subgroup analysis and meta-regression were performed to explore heterogeneity across studies. Results: Thirty-three studies covering 3,016 subjects were included. The pooled sensitivity and specificity were 0.69 (95%CI: 0.63-0.75) and 0.77 (95%CI: 0.73-0.82), respectively. The positive and negative likelihood ratios were 3.09 (95%CI: 2.52-3.78) and 0.39 (95%CI: 0.32-0.48), respectively. The DOR was 7.84 (95%CI: 5.56-11.08), and AUC was 0.80 (95%CI: 0.77-0.84). Conclusions: This meta-analysis indicated that EUS has moderate diagnostic value in preoperative assessment of lymph node involvement in colorectal cancer. Further refinements in technology and diagnostic criteria are necessary to improve the diagnostic accuracy of EUS.

소아기 류마티스모양 관절염 환자에서 etanercept 사용 후 발생한 뇌염 1예 (A case of encephalitis in a juvenile rheumatoid arthritis patient treated with etanercept)

  • 권아름;;김기환;김동수
    • Clinical and Experimental Pediatrics
    • /
    • 제53권2호
    • /
    • pp.262-266
    • /
    • 2010
  • $TNF-{\alpha}$ 는 소아기 류마티스모양 관절염의 병태생리학에 관여하는 주요 cytokine 이다. Etanercept 는 $TNF-{\alpha}$ 억제제 중 하나로 소아기 류마티스모양 관절염에 효과적인 약물로 각광받고 있다. Etanercept의 주요 부작용은 면역력 저하에 의한 감염으로, 대게 중등도의 상기도 감염이 대부분으로 알려져 있으나, 최근 중증의 감염도 보고되고 있다. 저자들은 소아기 류마티스모양 관절염 환자가 etanercept를 14개월간 투약 후 발생한 뇌염 1예를 경험하였기에 보고하는 바이다.

A novel BTK gene mutation, c.82delC (p.Arg28 Alafs*5), in a Korean family with X-linked agammaglobulinemia

  • Lee, Jeongeun;Rhee, Minhee;Min, Taek Ki;Bang, Hae In;Jang, Mi-Ae;Kang, Eun-Suk;Kim, Hee-Jin;Yang, Hyeon-Jong;Pyu, Bok Yang
    • Clinical and Experimental Pediatrics
    • /
    • 제59권sup1호
    • /
    • pp.49-52
    • /
    • 2016
  • X-linked agammaglobulinemia (XLA) is a hereditary humoral immunodeficiency that results from Bruton's tyrosine kinase (BTK ) gene mutations. These mutations cause defects in B-cell development, resulting in the virtual absence of these lymphocytes from the peripheral circulation. Consequently, this absence leads to a profound deficiency of lg all isotypes, and an increased susceptibility to encapsulated bacterial infections. A 15-month-old Korean boy presented with recurrent sinusitis and otitis media after 6 months of age, and had a family history of 2 maternal uncles with XLA. Laboratory tests revealed a profound deficiency of Ig isotypes, and a decreased count of $CD19^+$ B cells in the peripheral circulation. Based on his family history and our laboratory test results, he was diagnosed with XLA. We performed BTK gene analysis of peripheral blood samples obtained from family members to confirm the diagnosis. Mutational analysis revealed a novel hemizygous frameshift mutation (c.82delC, p.Arg28Alafs*5), in the BTK gene. His mother and maternal grandmother were heterozygous carriers of this mutation and his two maternal uncles were hemizygous at the same position. After XLA diagnosis, intravenous immunoglobulin (400 mg/kg, monthly) treatment was initiated; recurrent sinusitis and otitis media were subsequently brought under control. To our knowledge, this is the first reported case of a Korean pedigree with a novel mutation in the BTK gene.