• 제목/요약/키워드: Vascular status

검색결과 193건 처리시간 0.029초

뇌졸중환자의 자가간호 수준에 따른 보호자의 스트레스 (A Study of Caregiver Stress as related to the Level of Self-care in Patients Who had a Cerebro Vascular Accident(CVA))

  • 최은숙;소희영
    • 대한간호학회지
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    • 제23권4호
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    • pp.602-616
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    • 1993
  • The purpose of this study was to explore the degree of stress in caregivers caring for patients who had had a cerebro vascular accident as the stress is related to the self- care ability of the patient. The subjects for the study were caregivers of 111 CVA patients, hospitalized at two University affiliated hospitals and two general hospitals in Daejon. The survey instruments used in the study were Kang’s ADL Check List and a modified form of Lee’s Stress Inventory. The survey was conducted from July 16th to August 30th, 1992. The survey results were analyzed using the Statisitical Package for Social Sciences (SPSS) and can be sumerized as follows: 1. The level of self- care for the CVA patients was : 1) complete dependence (M=34.7, 31.2%), 2) complete independence (M=14.8. 13.3%), 3) in-complete independence ( M=17.5, 15.8% ), 4) in-complete dependence (M=14.8, 13.3%) and 5) dependence and independence (M=14.1, 12.7%). The items for which there was a high level of self-care were 1) drinking (M=3.640), 2) returning (M=2.351) and 3) eating (M=2.351) : and the items for which there was a low level of self -care were : 1) ascending and descending stairs (M=2.351), 2) dressing and undressing trousers (M=2.514) and 3) dressing and undressing jacket (M :2.532). 2. There was a statistically difference between the paralytic status and the level of self- care accord-ing to their demographic characteristics ( F=24. 7056, p(.001). 3. There was no significant difference in the degree of caregiver stress according to patient's demo-graphic characteristics. 4. There was a statistically significant difference in the degree of caregiver stress according to the following demographic characteristics : age (F=7.4189, p(.001), education level (F=5.8336, P(.01), family structure (t=2.10, p(.05) and their relationship with the patient (F=6.5099, P〈.01). 5. There was no significant difference in the degree of caregiver stress according to the level of patient self - care.

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지방간을 가진 소아에서 두개인두종 절제술 후의 뇌하수체기능저하증으로 인해 급격하게 진행된 간-폐 증후군 1예 (A case of hepatopulmonary syndrome in a child with fatty liver disease secondary to hypopituitarism after craniopharyngioma resection)

  • 임선주;박현석;이형두;박재홍;박희주
    • Clinical and Experimental Pediatrics
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    • 제50권8호
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    • pp.794-798
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    • 2007
  • 간-폐 증후군이란 진행된 간경변을 가진 환자에서 폐혈관의 확장으로 인해 동맥혈 산소 포화도가 감소하는 것을 특징으로 한다. 간경화 환자에서 동맥 산소 포화도의 감소가 보고된 이후로 간-폐 증후군은 말기 간질환을 가진 성인의 13-47% 정도에서 발생한다고 보고하고 있으나, 소아에서 발생한 국내 보고는 없다. 또한 시상하부 및 뇌하수체 기능 저하를 보이는 환자에서 비알코올성 지방간이 급격하게 간부전으로 진행되는 증례가 최근에 보고되고 있다. 저자들은 지방간을 가진 소아에서 두개인두종 절제술 후에 발생한 뇌하수체기능저하증으로 인해 간질환이 급격하게 진행하여 간-폐 증후군으로 발현된 증례를 경험하였기에 보고하는 바이다. 두부 수술 후에 시상하부 및 뇌하수체 기능 저하를 보이는 환아에서는 내분비 질환이나 대사 장애 뿐 아니라, 간질환에 대한 추적 관찰이 필요할 것이다.

Chronic cerebral hypoperfusion and plasticity of the posterior cerebral artery following permanent bilateral common carotid artery occlusion

  • Cho, Kyung-Ok;Kim, Seul-Ki;Kim, Seong Yun
    • The Korean Journal of Physiology and Pharmacology
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    • 제21권6호
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    • pp.643-650
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    • 2017
  • Vascular dementia (VaD) is a group of heterogeneous diseases with the common feature of cerebral hypoperfusion. To identify key factors contributing to VaD pathophysiology, we performed a detailed comparison of Wistar and Sprague-Dawley (SD) rats subjected to permanent bilateral common carotid artery occlusion (BCCAo). Eight-week old male Wistar and SD rats underwent BCCAo, followed by a reference memory test using a five-radial arm maze with tactile cues. Continuous monitoring of cerebral blood flow (CBF) was performed with a laser Doppler perfusion imaging (LDPI) system. A separate cohort of animals was sacrificed for evaluation of the brain vasculature and white matter damage after BCCAo. We found reference memory impairment in Wistar rats, but not in SD rats. Moreover, our LDPI system revealed that Wistar rats had significant hypoperfusion in the brain region supplied by the posterior cerebral artery (PCA). Furthermore, Wistar rats showed more profound CBF reduction in the forebrain region than did SD rats. Post-mortem analysis of brain vasculature demonstrated greater PCA plasticity at all time points after BCCAo in Wistar rats. Finally, we confirmed white matter rarefaction that was only observed in Wistar rats. Our studies show a comprehensive and dynamic CBF status after BCCAo in Wistar rats in addition to severe PCA dolichoectasia, which correlated well with white matter lesion and memory decline.

Vascular plant diversity of the Gogunsan Archipelago in the Korean Peninsula

  • Kim, Jung-Hyun;An, Ji-Hong;Nam, Gi-Heum;Park, Hwan-Joon;Kim, Jin-Seok;Lee, Byoung Yoon;Lee, Kyeong-Ui;Chang, Yeon-Soon
    • Journal of Species Research
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    • 제8권1호
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    • pp.136-159
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    • 2019
  • This study was carried out to investigate the flora of six islands belonging to the Gogunsan Archipelago (i.e., Sinsi-do, Seonyu-do, Munyeo-do, Yami-do, Bian-do, and Duri-do) in the Korean Peninsula. As results of five field surveys from March to October of 2016, we have identified 575 total taxa, representing 527 species, five subspecies, 42 varieties, and one hybrid, placed in 358 genera and 118 families. Of these 575 taxa, four are endemic to Korea, six taxa are listed on the Korean Red List of threatened species, 67 are floristic regional indicator plants, and 74 are invasive alien species. In this study, we compared species richness among the islands, and find that the larger the islands, the higher the species richness. In the case of habitat affinity types, forest species were most common, followed by farmland, seacoast, bare ground and wetland species. From similarity analyses based on the composition of vascular plants, each island did not exhibit either local specificity or unique diversity. On the contrary, the proportion of invasive alien and ruderal species may increase by human activities. Investigations and analyses of island flora such as this are important to assess the current status of the flora, predict future vegetation patterns and the spread of the alien species, and establish managment plans of plant diversity.

춘천시 도심하천(태백천)과 도시림에 있어서 귀화식물의 분포특성 (Distribution Characteristics of the Naturalized Plants in the Stream of Downtown and Urban Forest of Chuncheon City)

  • 손호준;안치호;안승일;김남영;김영설;박완근
    • 한국산림과학회지
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    • 제100권2호
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    • pp.184-201
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    • 2011
  • 본 연구는 2010년 3월부터 10월까지 춘천시를 도심하천, 하천상류 및 임연부, 도시림지역으로 나누어 귀화 식물 분포현황과 침입특성을 파악하였다. 조사한 결과 춘천시 내의 태백천유역과 도시림의 식물상은 81과 234속 295종 2아종 66변종 18품종 총 381종류가 분포하는 것으로 확인되었으며, 이 중 귀화식물은 가시박, 유럽나도냉이, 말냉이, 족제비싸리, 붉은토끼풀, 돼지풀, 단풍잎돼지풀, 미국쑥부쟁이, 애기수영 등 총 41종류가 나타났다. 춘천시 내의 태백천유역과 도시림의 귀화율(NI)과 도시화지수(UI)는 각각 10.79%, 15.30%로 확인되었으며, 귀화식물침입지수(II)는 도심하천지역이 63.41%, 하천상류 및 임연부지역이 97.56%, 도시림지역이 19.51%로 확인되었다.

Categorized wetland preference and life forms of the vascular plants in the Korean Peninsula

  • Choung, Yeonsook;Min, Byeong Mee;Lee, Kyu Song;Cho, Kang-Hyun;Joo, Kwang Yeong;Hyun, Jin-Oh;Na, Hye Ryun;Oh, Hyun Kyung;Nam, Gi-Heum;Kim, Jin-Seok;Cho, Soyeon;Lee, Jongsung;Jung, Sangyeop;Lee, Jaeyeon
    • Journal of Ecology and Environment
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    • 제45권1호
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    • pp.72-77
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    • 2021
  • Background: In 2020, a categorized list of wetland preferences, major habitats, and life forms of 4145 vascular plant taxa occurring in the Korean Peninsula was published by the National Institute of Biological Resources. We analyzed the list and explored the distribution patterns of the five categorized groups according to wetland preference, along with the information on the major habitats and the life forms of the plants belonging to those categories. Results: Out of 4145 taxa, we found that 729 wetland plant taxa (18%) occur in Korea: 401 obligate wetland plants and 328 facultative wetland plants. Among the 729 wetland taxa, the majority (73%) was hygrophytes and the remaining 27% was aquatic macrophytes. Furthermore, almost all of the wetland taxa are herbs; so, woody plants are only 4.7%. The 16 carnivorous taxa distributed in Korea were characterized as obligate wetland plants. Conclusions: We expect the categorized information would promote understanding of the characteristics of the plant species and would be an important source for understanding, conservation, and restoration of wetland ecosystems.

성주지역 문화재 지정(보호)구역 내 외래식물의 현황 (Status of Exotic Plant Species with in the Cultural Properties in Seongju-gun, Gyeongsangbuk-do)

  • 신현탁;김용식;이명훈;윤정원
    • 헤리티지:역사와 과학
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    • 제44권1호
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    • pp.162-181
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    • 2011
  • 본 연구는 경상북도 성주군에 분포하고 있는 주요 문화재 지정(보호) 구역을 중심으로 식물상 조사 결과를 토대로 외래식물 및 귀화식물의 현황을 분석함으로써 전통문화공간의 정체성을 알리고 이에 따른 보전방안 수립을 위한 기초자료를 제공하기 위해 실시되었다. 관속식물상은 세종대왕자태실의 경우 50과 93속 94종 16변종 4품종으로 114분류군이었으며 이 중 외래식물은 15분류군, 귀화식물은 16분류군으로 귀화율 14.04%, 도시화지수 5.90%를 나타냈다. 성주향교는 40과 64속 57종 8종 4품종으로 68분류군이었으며 이 중 외래식물은 17분류군, 귀화식물은 30분류군으로 귀화율 44.12%, 도시화지수 11.07%로 나타났다. 성밖숲은 34과 58속 55종 5변종 1품종으로 61분류군이었으며, 이 중 외래식물은 10분류군, 귀화식물은 17분류군으로 귀화율 27.87%, 도시화지수 6.27%로 나타났다. 한개마을은 92과 183속 182종 1아종 32변종 14품종으로 230분류군이었으며 이 중 외래식물은 28분류군, 귀화식물은 85분류군으로 귀화율 37.12%, 도시화지수 31.37%로 나타냈다. 성산고분군은 55과 107속 106종 19변종 6품종으로 131분류군이었으며 이 중 외래식물은 18분류군, 귀화식물은 22분류군으로 귀화율 16.79%, 도시화지수 8.12%로 나타났다. 성주향교의 경우 귀화율이 가장 높았으며, 한개마을의 경우 귀화율 및 도시화지수에서 모두 높은 값을 나타내고 있었다. 5개 지역 모두 외래식물 및 귀화식물에 대한 대책의 수립이 필요하며 특히 한개마을의 경우 마을 전체에 대한 관리계획의 수립이 필요하다. 또한 성주향교 및 한개마을 지역에서 모두 생태계교란야생동식물 중 하나인 돼지풀의 출현을 확인한바 이에 따른 관리대책이 요구된다.

$^{99m}Tc$-MDP 골신티그라피를 이용한 Hydroxyapatite 안구 보충물의 혈관 신생 평가 및 임상적 유용성 (Usefulness of $^{99m}Tc$-MDP Bone Scintigraphy for Assessing Vascular Ingrowth on Hydroxyapatite Ocular Implant)

  • 강봉주;손형선
    • 대한핵의학회지
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    • 제33권6호
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    • pp.484-492
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    • 1999
  • 목적: 안구제거술 후 삽입한 hydroxyapatite 안구보충물 내로의 혈관 신생 여부의 평가에 $^{99m}Tc$-MDP 골신티그라피의 임상적 유용성에 대해 알아보고자 하였다. 대상 및 방법: 안구적출술이나 안구내용물 제거술의 방법을 이용하여 안구 제거 후 hydroxyapatite 보충물을 삽입한 24명의 환자를 대상으로 하였다(여자 7명, 남자 17명, 연령 분포 $12{\sim}78$세, 평균 연령 36세, 안구적출술 12명, 안구내용물 제거술12명) Hydroxyapatite 보충물 삽입 후 $3{\sim}33$주($3{\sim}10$주 사이에 4명, $11{\sim}20$주 사이에 10명, $21{\sim}33$주 사이에 10명) 사이에 $^{99m}Tc$-MDP 골신티그라피를 시행하였다. 방사능 섭취 정도는 육안적으로 안구보충물과 비교(nasal bridge) 및 반대측 안구와 비교하여 안구 보충물이 비교보다 강할 경우 등급 4, 같을 경우 등급 3, 비교와 반대측 안구 사이일 경우 등급 2, 그 이하일 경우 등급 1로 하였다. 또한 골신티그라피 정면 영상에서 관심영역을 안구 보충물과 반대측 안구에 같은 크기로 설정하여 방사능 계수 비(H/N ratio)를 구하였다. 검사 시기와 방사능 섭취의 등급 분류, 방사능 계수 비와 안구 고정술 후 성공여부와의 관계를 분석하였다. 결과: 등급 2 이상, 방사능 계수 비가 1.56 이상인 환자 중 추적 관찰할 수 없었던 2명을 제외한 19명 모두에서 천공 시 출혈을 확인하였고, 의안과 연결하여 안구 고정술을 시행하였다. 방사능 섭취 정도를 육안적 분류 방법과 정량적 측정 방법에 의한 결과는 두 방법 모두 통계적으로 유의하였고 검사 시기와 방사능 계수 비 사이에 각각 유의한 상관관계가 있었으나 수술 방법에 따른 차이는 보이지 않았다. 결론: $^{99m}Tc$-MDP 골신티그라피의 방사능 섭취 등급 분류와 방사능 계수 비는 안구고정술의 시기 결정에 도움을 주었다. 안구적출술과 안구내용물제거술의 수술 방법 차이에 관계없이 안구고정술을 위한 첫 검사 시기는 안구보충물삽입 후 $11{\sim}20$주 사이가 좋을 것으로 생각되며, 등급 2, 방사능 계수 비 1.56 이상인 경우에는 안구 고정술을 시행하여 좋은 결과를 기대할 수 있을 것으로 생각된다.

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Floristic characteristics of vascular plants and first distributional report of Pseudostellaria baekdusanensis M. Kim in Yongneup wetland protected area

  • Kim, Young-Chul;Chae, Hyun-Hee;Oh, Sang-Heock;Choi, Seung-Ho;Hong, Moon-Pyo;Nam, Gi-Heum;Choi, Jae-Yoon;Choi, Hyun-Sook;Lee, Kyu-Song
    • 한국환경생태학회지
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    • 제29권2호
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    • pp.132-144
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    • 2015
  • Yongneup wetland protected area, the only high moor in Korea, is a core area to conserve biodiversity. Even though the Yongneup wetland protected area is relatively small, various plant species are distributed in the Yongneup wetland protected area because it includes various habitats showing different environmental gradients. Vascular plants distributed in the Yongneup wetland protected area were identified as a total of 376 taxa that is composed of 73 families, 217 genera, 322 species, 3 subspecies, 44 varieties and 7 forms. For endangered plants designated by the Ministry of Environment, 5 species including Trientalis europaea var. arctica, Lilium dauricum, Halenia corniculata, Lychnis wilfordii and Menyanthes trifoliata were found and 34 taxa were confirmed to be distributed only in the mountainous wetland habitats. Regarding naturalized plants, a total of 11 taxa were distributed, but most of them were distributed in the areas where artificial interference has occurred. And in areas inside the wetlands that are relatively well preserved, 2 species of Bidens frondosa and Erigeron annuus were observed. In this study, the occurrence and distribution of Pseudostellaria baekdusanensis M. Kim, which was recently found in Mt. Baekdu and reported as a new species, were identified in the Yongneup wetland protected area. A wetland is a very vulnerable area to drastic environmental changes and damages to its ecosystem could cause the extinction of rare plant species which are distributed only in the wetlands. Therefore, it is mandatory that current status of the Yongneup wetland protected area is evaluated and actions to prevent rapid environmental changes are taken. Fourteen separate investigations were conducted in 2013 and another four in 2014, to evaluate current status of the Yongneup wetland protected area. These investigations have provided us the basic information for future actions of conservation and restoration.

뇌혈관질환의 예측인자로서의 악력 (Grip Strength as a Predictor of Cerebrovascular Disease)

  • 정석환;김재현
    • 보건행정학회지
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    • 제29권3호
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    • pp.303-311
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    • 2019
  • Background: Cerebrovascular disease is included in four major diseases and is a disease that has high rates of prevalence and mortality around the world. Moreover, it is a disease that requires a high cost for long-term hospitalization and treatment. This study aims to figure out the correlation between grip strength, which was presented as a simple, cost-effective, and relevant predictor of cerebrovascular disease, and cerebrovascular disease based on the results of a prior study. And furthermore, our study compared model suitability of the model to measuring grip strength and relative grip strength as a predictor of cerebrovascular disease to improve the quality of cerebrovascular disease's predictor. Methods: This study conducted an analysis based on the generalized linear mixed model using the data from the Korea Longitudinal Study of Ageing from 2006 to 2016. The research subjects consisted of 9,132 middle old age people aged 45 years or older at baseline with no missing information of education level, gender, marital status, residential region, type of national health insurance, self-related health, smoking status, alcohol use, and economic activity. The grip strength was calculated the average which measured 4 times (both hands twice), and the relative grip force was divided by the body mass index as a variable considering the anthropometric figure that affects the cerebrovascular disease and the grip strength. Cerebrovascular diseases, a dependent variable, were investigated based on experiences diagnosed by doctors. Results: An analysis of the association between grip strength and found that about 0.972 (odds ratio [OR], 0.972; 95% confidence interval [CI], 0.963-0.981) was the incidence of cerebral vascular disease as grip strength increased by one unit increase and the association between relative grip strength and cerebrovascular disease found that about 0.418 (OR, 0.418; 95% CI, 0.342-0.511) was the incidence of cerebral vascular disease as relative grip strength increased by unit. In addition, the model suitability of the model for each grip strength and relative grip strength was 11,193 and 11,156, which means relative grip strength is the better application to the predictor of cerebrovascular diseases, irrespective of other variables. Conclusion: The results of this study need to be carefully examined and validated in applying relative grip strength to improve the quality of predictors of cerebrovascular diseases affecting high mortality and prevalence.