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A Study on Comparison of Cardiac Ejection Fraction Values Measured in Myocardium SPECT and Cine MRI

  • Han, Jung-Seok;Dong, Kyung-Rae;Park, Yong-Soon;Chung, Woon-Kwan;Cho, Jae-Hwan;Cho, Young-Kuk
    • Journal of Magnetics
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    • v.17 no.3
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    • pp.229-232
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    • 2012
  • This study examined the correlation between MR cine and myocardium Single-photon emission computed tomography (SPECT) by comparing the measured cardiac ejection fractions. The usefulness of cardiac MRI was also evaluated. Ten patients (8 men, 2 women and average age of 58.6 years), who underwent a myocardium SPECT scan and cardiac cine MRI scan among patients who visited the hospital for the chief complaint of cardiac disorder from June 1, 2010 to February 10, 2011, were enrolled in this study. The cardiac ejection fraction was calculated from the images obtained in both scans. The data was used to examine the correlation. The regression equation the cardiac ejection fraction values of the 10 patients obtained in myocardium SPECT and MRI cine was Y = 1.12X-8.91 ($R^2$ = 0.78, significance of F = 0.001639, and confidence level of 95%). The results were significant when the cardiac ejection fraction obtained from MRI cine was compared with that obtained from myocardium SPECT. Overall, a cardiac examination using MRI enables an investigation of not only the ejection fraction but also the ED and ES volumes, stroke volume, wall thickness, and wall thickening in a higher spatial resolution despite the examination being conducted once. This examination is believed to be very useful for diagnosing patients with cardiac disease.

The Effect of 12-Week Resistance Exercise on Muscle Loss and Metabolic Syndrome-Related Variables in Obese Elderly with Sarcopenia (12주 저항운동이 비만인 근감소증 노인의 근감소 및 대사증후군 관련 변인에 미치는 영향)

  • Shin, Jae-Suk;Kim, Hyun-Jun
    • Journal of The Korean Society of Integrative Medicine
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    • v.10 no.4
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    • pp.165-173
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    • 2022
  • Purpose : This study was conducted to apply a 12-week resistance exercise program to obese elderly people with sarcopenia and verify the risk factors of sarcopenia and metabolic syndrome as well as the effects of this program on improving muscle function, and thus to serve as basic data for preventing and improving sarcopenia. Methods : Forty elderly people aged 65 or older were recruited and underwent dual energy x-ray absorptiometry. Based on the criteria of appendicular skeletal muscle mass (ASM/Height2: less than 5.4 kg/m2) and body fat percentage (at least 30 % for women and 25 % for men), 18 obese elderly people with sarcopenia were finally selected after excluding 22 elderly people who did not meet the criteria. Variables related to sarcopenia, metabolic syndrome, and muscle function were measured before the 12-week resistance exercise program. Results : The 12-week resistance exercise program significantly increased the bone density and muscle mass and decreased the fat mass and fat percentage in obese elderly with sarcopenia. The 12-week resistance exercise program significantly increased the HDL-C and decreased the LDL-C and waist circumference in obese elderly people with sarcopenia (p<.05). The 12-week resistance exercise program significantly increase grip strength, static balance, and 6-minute walking in obese elderly people with sarcopenia (p<.05). Conclusion : Accordingly, resistance exercise is considered a way to reduce the exorbitant medical expenses of patients who are bedridden for long and improve the lowered quality of individuals in a super-aged society.

Diagnosis of split fractures of the mandible in adults

  • Taesik Kim;Sung Gyun Jung;In Pyo Hong;Young Joong Hwang
    • Archives of Craniofacial Surgery
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    • v.24 no.4
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    • pp.167-173
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    • 2023
  • Background: Mandibular split fractures, in which the fracture occurs exclusively in the posterior wall, are uncommon. This study aimed to enhance clinicians' understanding of mandibular split fractures and offer insights for future research. Methods: This study included six patients who visited our hospital between January 2020 and June 2023 and were diagnosed with mandibular split fractures. We retrospectively collected data from patients' medical records on their age, sex, symptoms, mechanism, impact site, associated injuries, and treatment method, as well as the location, pattern, and number of fractures observed on computed tomography (CT) and panoramic images. The frequency of split fractures among all mandibular fractures was calculated. Results: The six patients included three men (50%) and three women (50%), ranging in age from 20 to 71 years (mean age, 49.8 years). The split fractures were located in the symphysis in one patient (16.7%), symphysis to parasymphysis in two patients (33.3%), parasymphysis in one patient (16.7%), and parasymphysis to the body in two patients (33.3%). Four patients (66.7%) had condylar head fractures, while two patients (33.3%) had single split fractures. The mechanism of trauma was a slip-down incident in four cases (66.7%), while two cases (33.3%) were caused by motorcycle traffic accidents. Four patients (67%) underwent intermaxillary fixation, while two patients (33%) improved with conservative treatment. Split fractures were diagnosed in all six patients on CT, whereas the fracture line was not clearly visible on panoramic images. Mandibular split fractures accounted for 5.6% of all mandibular fractures. Conclusion: This study provides insights into the clinical characteristics of rare mandibular split fractures and the diagnostic imaging findings. Furthermore, CT scans and three-dimensional image synthesis-instead of panoramic images-may be essential for accurately diagnosing mandibular fractures, including mandibular split fractures, in the future.

Effects of Muscular Endurance Exercise and Supplement Intake on Appendicular Skeletal Muscle and Muscle Function-Related Physical Strength, Blood Lipids, and IGF-1 in Obese Older Adults with Sarcopenia (근감소성(sarcopenia) 비만 노인의 근지구력 운동과 보충제 섭취가 사지 근육량과 근기능 관련 체력과 혈중지질 및 IGF-1에 미치는 영향)

  • Jae-Suk Shin;Hyun-Jun Kim
    • Journal of The Korean Society of Integrative Medicine
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    • v.11 no.4
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    • pp.95-104
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    • 2023
  • Purpose : This study aimed to introduce a 12-week muscular endurance exercise program and β-glucan consumption to obese elderly people with sarcopenia. We evaluated the program's impact on appendicular skeletal muscle strength and function, muscle function-related physical strength, blood lipids, and IGF-1. The results will serve as foundational data for preventing and improving sarcopenia. Methods : Forty elderly people aged 65 or older were recruited and underwent dual-energy X-ray absorptiometry. Based on criteria related to appendicular skeletal muscle mass (ASM/Height2: less than 5.4 kg/m2) and body fat percentage (at least 30% for women and 25% for men), we selected 24 obese elderly people with sarcopenia and excluded 56 who did not meet the criteria. Variables related to sarcopenia, blood lipids, IGF-1, and muscle function were measured before the 12-week muscular endurance exercise program. Results : In sarcopenic obese elderly participants, the 12-week muscular endurance exercise program significantly increased bone density and muscle mass while decreasing fat mass and percentage (p<.05). This program also improved grip strength, static balance, and SPPB in sarcopenic obese older adults. Furthermore, their 6-minute walk distance significantly increased (p<.05). Conclusion : Muscular endurance exercises combined with supplement intake can increase appendicular skeletal muscle and improve muscle strength and function, thereby improving the daily physical performance of the elderly.

Concept Mapping Analyzing on Counselors' Vicarious Trauma Experience from Working with Victims of Sexual Violence (성폭력 상담자 대리외상 경험에 대한 개념도 연구)

  • Heo, Chan-hee;Lee, Jee-yon
    • The Journal of the Korea Contents Association
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    • v.20 no.11
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    • pp.457-471
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    • 2020
  • The purpose of this study is to explore the in-depth content of vicarious trauma experience of sexual violence counselors and to develop intervention strategy. To this end, depth interviews were conducted with twelve sexual violence counselors working at the sexual violence counseling site for more than three years. In addition, using the concept mapping method, the content exploration of the experience of vicarious trauma of sexual violence counselors was confirmed, and its conceptual structure was identified. As a result, 60 key sentences regarding the experience of vicarious trauma of sexual violence counselors were extracted. Then, multi-dimensional scale and cluster analysis were conducted after making nineteen appraisal participants who are under the same condition as depth interview participants to categorize and assess key sentences. As a result of analysis, the x-axis of negative perception, psychological and emotional dimension, and the y-axis of personal inner and behavioral dimension appeared, and five clusters emerged: immersion and skepticism about work, experience of emotional assimilation, hypersensitivity to sex, increased vigilance against men, and threat of safety. This provided basic data that could categorize and identify the contents of vicarious trauma of sexual violence counselors experience by sexual violence counselors.

A Study on the Sasang Constitutional Checkup List and Inspection Diagnosis of Face and Tongue (사상체질진단표(四象體質診斷表) 및 망진(望診), 설진(舌診)에 관한 연구(硏究))

  • Kim, Jong-Che;Choi, Min-Ki;Jung, Woon-Ki;Shin, Woo-Young;Kim, Sun-Hyung;Yoo, Jun-Sang
    • Journal of Sasang Constitutional Medicine
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    • v.19 no.3
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    • pp.156-175
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    • 2007
  • 1. Objectives and Methods This study was performed to know the relationship between Sasang Constitution and characteristics of ordinary symptoms, inspection diagnosis of face and tongue. There were 666 participants(280 men and 386 women) who answered Sasang Constitutional Checkup list and were taken pictures of faces and tongues. Sasang Constitution was diagnosed by only PSSC(Phonetic System for Sasang Constitution). Distribution of Sasang Constitution and X2 test, kappa value for agreement were calculated using SPSS 10.0. 2. Results From characteristics of ordinary symptoms' point of view, Taeeumin had loud voices, big body shapes and easily sweated themselves. They felt good after sweating and had warm hands and feet. And their upper back, shoulders and chest were, they thought, well developed. They were apt to have meals quickly and overeat themselves. Soyangin and Soeumin had thin body shapes and were difficult to sweat themselves and felt powerless after sweating. They had cold hands and feet. Especially, Soeumin was apt to have meals slowly and a little amounts. They walked so fast. Soyangin was introvert and had developed their abdomen and waist. 'Looking heavy and steady' was higher in Taeeumin, 'delicate and modest' was higher in Soeumin(42.8%) and Soyangin(36.1 %) in first impression. It was thought to be difficult to discriminate Soyangin from Soeumin in first impression and make a notion of right Soyangin's first impression. Soyangin had pinky tongue color and little tongue fur whereas Soeumin had red tongue color and whitish tongue fur. Taeeumin had whitish tongue fur too. 3. Conclusions To diagnose Sasang Constitution much effectively, PSSC results and comprehensive Sasang Constitutional Checkup list extracted from effective Questionnaire items and Face and Tongue Inspection Diagnosis are thought to be needed.

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The Relationship among Marital Dissatisfaction, Loneliness and SNS Addiction - The Moderated Mediating Effect of Social Capital - (결혼불만족과 외로움, SNS중독의 관계 - 사회자본의 조절된 매개효과를 중심으로 -)

  • Kim, Nam Hee
    • Korean Journal of Social Welfare
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    • v.69 no.1
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    • pp.223-254
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    • 2017
  • This study was carried out to examine whether the moderated mediating effect of SNS addiction resulting from marital dissatisfaction and loneliness is influenced by gender or size and composition of social capital. 714 married men and women in their 20's to 40's were participated in this study. The data were collected by online research center with quota sampling based on demographical proportion. To analyze this research model, the moderated mediating effect utilizing structural equation was used. The results of this study were summarized as follows. First, it is verified that the loneliness moderated between marital dissatisfaction and SNS addiction. Since the relationship between independent and dependent variable is insignificant, comparison of competition model was able to determine if mediating effect was fully or partially shown. As a result, the complete mediated model was ultimately chosen because its various goodness-of-fit index including $x^2$ performed fairly well. Second, the mediating effect which moderates social capital size was presented in the mediated model between the marital dissatisfaction, loneliness and SNS addiction. Specifically, It implies that group who recognizes their social capital big recognizes the route and effect size more than that who considers their social capital small. And the moderated mediating effect depending on different type of social capital among the marital dissatisfaction and loneliness and between SNS addiction was substantiated. It implies that disequilibration of SNS social capital in face-to-face sphere and in online acted as a danger fact with respect to the marital dissatisfaction, loneliness and SNS addiction. The implications of these findings were discussed, and directions for future studies were also proposed.

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Evaluation of the Health Status of the Aged in rural Area by Anthropometry and Clinical Laboratory Tests (농촌지역(農村地域) 노인(老人)들의 신체계측(身體計測) 및 임상검사(臨床檢査)에 의한 건강상태(健康狀態) 평가(評價))

  • Cho, Seong-Eok;Yeh, Min-Hae;Park, Jung-Han;Chun, Byung-Yeol
    • Journal of agricultural medicine and community health
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    • v.10 no.1
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    • pp.16-25
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    • 1985
  • To evaluate the health status of the aged in rural area, 476 men and women of 65 years old and older among the residents of Gunwee County in Kyungpook were examined at the county health center between 4th and 22nd of June, 1984. Physical examination included measuring height, weight, chest circumference and blood pressure and chest x-ray. Laboratory tests were done for serum cholesterol, glucose and GOT, and urine glucose and protein. The mean heights of male and female were 160${\pm}$7.0cm and 147.7${\pm}$6.9cm, respectively. The height decreased as the age increased. The mean body weight of male was 53.5${\pm}$7.8kg and 46.7${\pm}$7.5kg for female and the older, the eighter. The mean chest circumference of male was 85.4${\pm}$7.5cm and 79.5${\pm}$79cm for female and it had no remarkable differences by age group. The average height, body weight, chest circumference, and serum cholesterol level of the age 65 years and older in rural area were lower than the standard this may be due to undernutrition of the aged. The mean diastolic and systolic blood pressure of male were 75.9${\pm}$13.5 mmHg/126.3${\pm}$24.1 mmHg and those for female were 73.1${\pm}$13.9 mmHg/125.8${\pm}$32.4 mmHg. Both male an d female in the age group of 65-69 years showed the lowest mean blood pressure. Among the study population 18.3% the borderlin hypertension and 14.3% had hypertension. Average hemoglobin level of the male(12.5${\pm}$0.8 g/dl) was higher than that of the female(11.6${\pm}$0.8 g/dl) (p < 0.01). Mean serum G.O.T. level was 25.2${\pm}$8.7 IU for male and 23.6${\pm}$7.5 IU for female and all of the study population were within the normal range. Mean serum glucose level was 110.4${\pm}$16.0 mg/dl for the male and 110.5${\pm}$15.7 mg /dl for the female and 41.4% of the study population were above the normal limit of serum glucose level. However, there was only one person she had glycosuria. Hyperglycemia could be due to non-fasting before the test. Two of the study population had proteinuria and five persons (1.05%) were diagnosed as pulmonary tuberculosis by the chest x-ray.

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Correlation Analysis Between Lumbar Scoliosis of X-ray and HIVD of L-spine MRI in LBP Patients who Visit Korean Medicine Hospital (한방병원에 요통으로 내원한 환자에서 X-ray상 요추측만과 MRI상 HIVD와의 연관성 분석)

  • Kim, Kil-Hwan;Choi, Young-Jun;Kwon, Ok-Jun;Joo, Young-Kuk;Song, Seung-Bae;Song, Gwang-Chan;Seo, Ji-Yeon;Choo, Won-Jung
    • The Journal of Churna Manual Medicine for Spine and Nerves
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    • v.11 no.1
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    • pp.41-51
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    • 2016
  • Objectives : This study is planned to classify Correlation between Cobbs Angle of Lumbar scoliosis and prevalence of Lumbar Intervertebral Disc. Methods : We Measured the lumbar scoliosis angle of the 114men and 91 women patients with lumbar pain in Bucheon Jaseng Korean Medicine Hospital. We use Cobb's angle method for measuring the lumbar scoliosis. And We use Magentic Resonance Imaging(MRI) for classifying the patient who has lumbar intervertebral disc or not. Results : 1.There was no statistical relation between the Cobbs angle and gender(P>0.05) 2.There was no statistical relation between the Cobbs angle and age(P>0.05) 3.There was significant relation between the direction of lumbar scoliosis and the direction of disc herniation(P<0.05) 4.There was no statistical relation between on the Cobbs angle and disc herniation. The more severe of lumbar scoliosis has not tendency of disc herniation. 5.There was no statistical relation between lumbar scoliosis Cobbs Angle on HIVD of L-spine patient and direction of disc herniation on horizontal plane. Conclusions : The direction of disc herniation has tendency of the opposite direction of lumbar scoliosis. When disc herniation, opposite side bending broad intervertebral foramen and reduce pressure.

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Video-assisted Thoracic Surgery [VATS] in Diagnosis and Treatment of Thoracic Diaseas; Report of 90 Cases (비디오 흉강경: 흉부질환의 진단과 치료;90례 보고)

  • 백만종
    • Journal of Chest Surgery
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    • v.26 no.6
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    • pp.475-482
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    • 1993
  • 90 patients[75 men and 15 women] with the thoracic disease underwent video-assisted thoracic surgery[VATS] during the period March 1992 to February 1993. The thoracic diseases were classified into two groups of spontaneous pneumothorax and general thoracic patients and they were 66 and 24, respectively.The mean size of the tumor resected was 4.3 $\pm$ 2.0 cm x 3.3 $\pm$ 1.1 cm x 2.7 $\pm$ 1.0 cm. The mean time of anesthesia and operation were 90.0 $\pm$ 19.9 min and 43.7 $\pm$ 13.1 min in spontaneous pneumothorax group and 123.3 $\pm$ 40.3 min and 62.8 $\pm$ 32.2 min in general thoracic group. The mean period of postoperative chest tube drainage and hospital stay were 5.0$\pm$ 5.5 days and 6.6 $\pm$ 7.4 days in spontaneous pneumothorax group and 3.5$\pm$ 1.6 days and 9.5 $\pm$ 6.1 days in general thoracic group. The indications of VATS were 71 pleural disease[78.9%: 66 spontaneous pneumothorax; 3 pleural effusions ; 1 pleural paragonimus westermanii cyst; 1 malignant pleural tumor with metastasis to the lung], 9 mediastinal disease[10.0%: 5 benign neurogenic tumor; 2 pericardial cyst; 1 benign cystic teratoma; 1 undifferentiated carcinoma], 8 pulmonary parenchymal disease[8.9%: 3 infectious disease ; 3 interstitial disease ; 2 malignant tumor ], and 2 traumatic cases of exploration and removal of hematoma[2.2%]. The applicated objectives of VATS were diagnostic[ 7 ], therapeutic[ 67 ] and both[ 16 ] and the performed procedures were pleurodesis[ 66 ], wedge resection of lung[ 59 ], parietal pleurectomy[ 11 ], removal of benign tumor[ 9 ], excision and/or biopsy of tumor[ 4 ], pleural biopsy and aspiration of pleural fluid[ 3 ] and exploration of hemothorax and removal of hematoma in traumatic 2 patients. The complication rate was 24.2%[ 16/66 ] in the spontaneous pneumothorax group and 8.3%[ 2/24 ] in the general thoracic group and so overally 20.0%[ 18/90 ]. The mortality within postoperative 30 days was 2.2%[ 2/90 ], including 1 acute renal failure and 1 respiratory failure due to rapid progression of pneumonia. The conversion rate to open thoracotomy during VATS was 5.6%[ 5/90 ], including 2 immediate postoperative massive air leakage, 1 giant bullae, 1 malignant pleural tumor with metastasis to lung and 1 pulmonary malignancy. The successful cure rate of VATS was 75.8%[ 50/66 ] in the spontaneous pneumothorax group and 76.5%[ 13/17 ] in the general thoracic group and the successful diagnostic rate was 100%[ 7/7 ]. In conclusion, although prospective trials should be progressed to define the precise role of VATS, the VATS carries a low morbidity and mortality and high diagnostic and therapeutic success rate and now can be effectively applicated to the surgical treatment of the extensive thoracic disease.

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