• Title/Summary/Keyword: chest tightness

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Hookworm Anemia in a Peritoneal Dialysis Patient in China

  • Wu, Fuquan;Xu, Ying;Xia, Min;Ying, Guanghui;Shou, Zhangfei
    • Parasites, Hosts and Diseases
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    • v.54 no.3
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    • pp.315-317
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    • 2016
  • Hookworm infections as well as other intestinal nematodiases are endemic in China. In this case, a 70-year-old male showed symptoms of chest tightness, shortness of breath, and both lower extremities edema. The diagnostic result was chronic renal insufficiency, chronic kidney disease (5th stage), and renal anemia at first. Then, he received treatment with traditional drugs. However, this treatment did not help to alleviate the symptoms of the patient significantly. The results of gastroendoscopy showed hookworms in the duodenum, also confirmed by pathology examination. Anemia was markedly ameliorated after eliminating the parasites. The results mentioned above suggested that ancylostomiasis was the leading causes of anemia in this patient, and the etiology of anemia in uremic patients should be systematically considered. Especially when anemia could not be cured by regular treatments, rare diseases should be investigated.

Update in asthma management (천식치료의 최신지견)

  • Lee, Hae Ran
    • Clinical and Experimental Pediatrics
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    • v.49 no.6
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    • pp.581-588
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    • 2006
  • Asthma is a chronic inflammation of the airway associated with increased bronchial hyperresponsiveness that leads to recurrent episodes of cough, wheezing, breathless, chest tightness. According the recent studies, repeated airway inflammation leads to structural changes so called 'airway remodeling' and associated with decreased pulmonary function. Airway remodeling begins form the early stage of asthma and the early diagnosis and management is very important to prevent airway remodeling. Medication for asthma can be classified into acute symptom reliever and chronic controller. Short acting beta2 agonist is a well-known reliever that reduced asthma symptoms within minutes. Controllers should be taken daily as a long-term basis to control airway inflammation. Inhaled corticosteroid(ICS) is the most effective controller in current use. However, in some patients ICS monotherapy is not sufficient to control asthma. In those cases, other medications such as long acting beta2 agonist, leukotriene modifier or sustained-release theophylline should be added to ICS, which called Add-on-Therapy. Combination inhaler devices are easy to use. Oral leukotriene modifier has a good compliance especially in children. Finally, as asthma is a chronic disease, the development of on-going partnership among health care professionals, the patients, and the patients' family is necessary for the effective management of asthma.

A Case of Chemical Pneumonitis Caused by Acetic acid Fume Inhalation (초산(Acetic Acid) 증기 흡입에 의한 화학성 폐렴 1예)

  • Nam, Seung-Ou;Moon, Doo-Seop;Lee, Dong-Suck;Kim, Jin-Ho;Park, Ik-Soo;Yoon, Ho-Joo;Shin, Dong-Ho;Park, Sung-Soo;Lee, Jung-Hee
    • Tuberculosis and Respiratory Diseases
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    • v.41 no.4
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    • pp.424-428
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    • 1994
  • Many organic and nonorganic agents can cause chemical pneumonitis. Chemical pneumonitis induced by inhalation of acetic acid is a rare clinical condition. As acetic acid is a water soluble agent, it causes chemical irritation to respiratory tract and causes variable symptoms. We experienced a case of acute lung injury due to inhalation of acetic acid fume. A 56-year-old male patient was admitted due to dyspnea with vomiting for one day. After he inhaled acetic acid fume in occupational situation, he had chest tightness, chilling sense, and productive cough. Our case was good response to oxygen inhalation, antibiotics, and systemic steroids.

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Laboratory Findings and Subjective Symptoms of Car Repair Workers (자동차 정비공의 혈액 및 뇨검사 소견과 자각증상에 대한 조사)

  • 이광성;이명구;조영채
    • Journal of Environmental Health Sciences
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    • v.24 no.2
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    • pp.80-87
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    • 1998
  • To evaluate the effects on health by exposure to low dose organic solvents, the author analyzed the air concentration of mixed organic solvents (toluene, xylene, butylacetate) at worker's breathing zone during painting, some laboratory findings of blood (WBC, RBC, Hb, Hct, SGOT, SGPT, TC, TG, HDL-C, LDL-C, IgG, IgM, IgA and IgE) and urine (hippuric acid, urinary protein, urobilinogen), surveyed the subjective symptoms those were obtained from 35 male workers exposed to mixed organic solvents, and 25 male workers not exposed to organic solvents who worked in car repair workshops in Taejon area from December 1, 1995, to February 29, 1996. The results were as follows: 1. The mean concentration of urinary hippuric acid of car painting worker group (organic solvent exposure group) was 0.76$\pm$ 0.21 g/l, which is significantly higher than that of non-exposed group. 2. In hematologic findings, the values of RBC, TC, LDL-C, IgG and IgE in the exposure group were significantly lower than those of the nonexposed group, but SGOT and SGPT in the exposure group were significantly higher than those of the non-exposed group. 3. Urinary hippuric acid levels showed positively correlated with toluene, urobilinogen and HDL-C levels, but those were negatively correlated with RBC, LDL-C, IgM levels. 4. Rates of the subjective symptoms such as "dizziness", "appetite loss", "weight loss", "palpitation", "chest tightness", "sore throat and eye discomfort", "tingling sense and acrodynia", "illusion or hallucination" and "decreaased motor power" were significantly higher in the exposure group than those of the non-exposed group.

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Primary Pericardial Fibrosarcoma Presenting as Cardiac Tamponade - A case report - (심낭압전으로 발견된 원발성 심낭 섬유육종 - 1예 보고 -)

  • Lim, Ju-Yong;Sung, Kyu-Wan;Kang, Gil-Hyun;Yoo, Dong-Gon;Kim, Chong-Wook;Park, Chong-Bin
    • Journal of Chest Surgery
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    • v.40 no.8
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    • pp.574-577
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    • 2007
  • Primary malignant neoplasm of the pericardium is very rare, Neoplastic involvement of the pericardium may result in rapidly developing hemorrhagic effusion. A 30-year-old male who occasionally suffered from chest tightness was referred to our hospital under the diagnosis of unstable angina. He presented with acute chest pain and severe dyspnea that had developed one day previously. The diagnostic investigations such as echocardiography, chest CT and magnetic resonance image suggested cardiac tamponade that was caused by rupture of the pericardial teratoma. An operation to remove the tumor and effusion was performed. The pericardial mass was completely excised, and the result of the frozen biopsy favored malignancy. The final pathologic report was malignant fibrosarcoma of the pericardium and no malignant cells were found on the cytology of the pericardial effusion. The patient had a smooth postoperative course and was referred to another hospital for additional radiation therapy. We report here on this case of cardiac tamponade that was caused by primary pericardial fibrosarcoma, and this required urgent diagnosis and surgical management.

Development of Upper Bodice Pattern for the Late Elementary Obese- Schoolgirls - Using iVirds 3.0 PB and iVirds 3.0 DS program - (아동후기 비만여아의 상반신 원형 설계 - iVirds 3.0 PB 및 iVirds 3.0 DS 프로그램 적용 -)

  • Lim, Jiyoung
    • Fashion & Textile Research Journal
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    • v.16 no.6
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    • pp.921-926
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    • 2014
  • The aim of this study is to develop upper bodice pattern for obese girls aged 10~12 by using 3D virtual garment simulation system. The criteria for subjects in this study were girls who had over 1.46 of the R$\ddot{o}$hrer Index. A total of 229 schoolgirls who met these criteria were enrolled. The results of this study are as follows: First, by using 3D virtual garment simulation, new upper bodice pattern considered obese-schoolgirls was development. The basic numerical formula were as follows ; bust girth B/2+4.5, armhole depth B/4-1, waist girth W/4+0.5+dart amount, front chest width B/6+2, back width B/6+2, neck width B/12-0.5 and neck depth B/12+0.5. Second, armhole darts were added to compensate the loose amount of front armhole and dart manipulation was used to ensure a better appearance on armhole in the design. The dart side line was modified concavely to help cover the protruding stomach. Curved lines on the armhole were significantly relieved using dart manipulation and the darts side line was modified concavely to reduce the tightness around the front waist darts. Third, according to the results of the new upper bodice pattern's appearance evaluation, it estimated more highly than existing pattern in silhouette and ease amount, confirming that new upper bodice pattern was appropriate for the obese-schoolgirls. This study is expected to serve as one of important basic data for ensuing studies that may utilize 3D virtual garment simulation system with 2D patterns.

Qualitative Analysis for the Influences of Emotion Freedom Techniques (EFT) Group Treatment Program for Hwa-Byung Patients (EFT 집단치료 프로그램이 화병환자에게 미치는 영향에 대한 질적분석)

  • Song, Seung-Yeon;Lee, Jung-Hwan;Suh, Jin-Woo;Kwon, Chan-Young;Kim, Jong-Woo
    • Journal of Oriental Neuropsychiatry
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    • v.25 no.1
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    • pp.29-38
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    • 2014
  • Objectives: The objective of this study is to examine the effects of Emotion Freedom Techniques (EFT) group treatment program for Hwa-byung patients. Methods: Thirteen Hwa-byung patients have participated in the four weeks program of EFT group treatment and the program was executed once a week, for about one hour. After every session, the participants performed EFT by themselves in order to control their symptoms. Four weeks after the program ended, we interviewed the participants by using the semi-structured interview method to observe changes of Hwa-byung. All the data collected was summarized through the qualitative analysis method. Results: Results showed effects of the EFT group treatment program, with regards to the physical, cognitive and emotional aspects. Most of the participants experienced reliefs of Hwa-byung symptoms like chest tightness, hot flashes, insomnia and so on. Their ability to cope with stress improved and their re-experiences of past memories decreased. And their distorted self-images were also restored. Lastly, there was a decrease in negative emotions and an increase in positive emotions experienced by the participants. The participants could control their symptoms by performing self-enforcement. In addition, regarding the form of group therapy, the treatment was effective as it helped the participants to feel solidarity and social support. Conclusions: The EFT group treatment program can relieve the physical, cognitive and emotional symptoms of Hwa-byung. This program can be applied to the psychotherapy of Hwa-byung.

The posture correction effect of functional clothing to prevent turtle neck syndrome (거북목 증후군 예방용 기능성 의류의 자세 교정 효과)

  • Kim, Hyunsook;Chun, Jongsuk;Jee, Jungwoo
    • The Research Journal of the Costume Culture
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    • v.24 no.3
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    • pp.358-366
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    • 2016
  • This study was performed to measure the posture correction effect of wearing ergonomic experimental clothing. Two types of experimental clothing (A, B) were developed. Both of them reinforced the muscles surrounding the spine. Experimental clothing A was developed by reflecting the shape and position of the pectoralis major muscle, abdominal muscle, and latissimus dorsi muscle. Experiment clothing B was developed by reflecting the integrated form of those muscles. Subjects were males in their 20s~30s (n=32). They were divided into two groups based on their acromion distance (AD): the turtle neck syndrome group (n=16, AD=3.81cm) and the normal group (n=16, AD=1.27cm). The correction of body posture was detected by three index values: change of the cervical curvature angle, horizontal distance between the seventh cervical vertebra and tragion, and AD. The comfort and tightness of the clothing were also measured. The results showed that both types of experimental clothing corrected body posture and that turtle neck syndrome can be prevented by wearing these types of posture correcting clothing. Two index values were decreased: cervical curvature angle ($0.31{\sim}1.32^{\circ}$) and horizontal distance between seventh cervical vertebra and tragion (0.22~0.31cm). The chest was also stretched. The comfort was rated as good for both types of experimental clothing. These results indicate that the experimental clothing had a posture correction effect without any discomfort for daily living.

An Epidemiological Study on the Accident resulting from Leakage of Chloride (염소가스 누출사고에 대한 역학적 조사연구)

  • Kim, Joon-Yun;Cho, Won-Gae;Park, Jong-Hwan;Lee, Chong-Kyun;Kim, Yong-Chun;Kim, Don-Kyoun
    • Journal of Preventive Medicine and Public Health
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    • v.5 no.1
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    • pp.49-56
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    • 1972
  • During the Period from 22th to November 26th, 1971, An Epidemiological Survey was performed on the Accident which was occurred by Leakage of Chloride Gases in A Chemical Industry, one of Wul San Industrial Areas. The obtained results were as follows; 1. The largest damage was observed at Yeo Cheon Dong, 5.38 Km2 in Area and 8,192 in the Residents. 2. By the age distribution of Yeo Cheon Dong, The largest damaged area resulting from chloride accident, the age group of between 10 and 39 was highly occupied with 55.2% Of all Yeo Cheon residents. 3. The number of patient was 436 totally, 198 in male and 238 in female. 4. By the age group distribution of the patient, in case of male, the largest group was under 20 age (96) and female, between 20 and 40 age group. 5. By the educational level of the patient, No-Education group was 116 (26.6%), and primary school, middle school and high school were respectively 168 (38.5%), 68 (15.6%) and 12 (2.8%). 6. By the occupational distribution of the patient, No-Occupation group was 49.7%, students and agriculture were respectively 14.4% and 8.1%. 7. By the complaints of the patient, most of all were for respiratory tract, those are coughing (56.9%), chest tightness (35.6%), sore throat (24.8%), and so forth. 8. By the injured domestic animal, the Dog was most highly injured with 46.2%.

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Mercury Exposure among Garbage Workers in Southern Thailand

  • Decharat, Somsiri
    • Safety and Health at Work
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    • v.3 no.4
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    • pp.268-277
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    • 2012
  • Objectives: 1) To determine mercury levels in urine samples from garbage workers in Southern Thailand, and 2) to describe the association between work characteristics, work positions, behavioral factors, and acute symptoms; and levels of mercury in urine samples. Methods: A case-control study was conducted by interviewing 60 workers in 5 hazardous-waste-management factories, and 60 matched non-exposed persons living in the same area of Southern Thailand. Urine samples were collected to determine mercury levels by cold-vapor atomic absorption spectrometer mercury analyzer. Results: The hazardous-waste workers' urinary mercury levels (10.07 ${\mu}g/g$ creatinine) were significantly higher than the control group (1.33 ${\mu}g/g$ creatinine) (p < 0.001). Work position, duration of work, personal protective equipment (PPE), and personal hygiene, were significantly associated with urinary mercury level (p < 0.001). The workers developed acute symptoms - of head-aches, nausea, chest tightness, fatigue, and loss of consciousness at least once a week - and those who developed symptoms had significantly higher urinary mercury levels than those who did not, at p < 0.05. A multiple regression model was constructed. Significant predictors of urinary mercury levels included hours worked per day, days worked per week, duration of work (years), work position, use of PPE (mask, trousers, and gloves), and personal hygiene behavior (ate snacks or drank water at work, washed hands before lunch, and washed hands after work). Conclusion: Changing garbage workers' hygiene habits can reduce urinary mercury levels. Personal hygiene is important, and should be stressed in education programs. Employers should institute engineering controls to reduce urinary mercury levels among garbage workers.