• 제목/요약/키워드: cva

검색결과 302건 처리시간 0.027초

홍화약침(紅花藥針)이 국소뇌혈류량(局所腦血流量) 및 평균혈압(平均血壓)에 미치는 실험적(實驗的) 영향(影響) (Experimental Effects of Aqua-Acupuncture of Carthami Flos on the Regional Cerebral Blood Flow and Mean Arterial Blood Pressure in Rats)

  • 김성욱;정현우;위통순;조명래;윤여충
    • Journal of Acupuncture Research
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    • 제21권2호
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    • pp.167-181
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    • 2004
  • Objective : Carthami Flos has been used as a herb to promote blood circulation to remove blood stasis in oriental medicine for many centuries. To investigate treatment of cerebral vascular disease(CVA) by promoting blood circulation and removing blood stasis(活血化瘀法), we observed the experimental Effects of Aqua-Acupuncture of Carthami Flos on the Regional Cerebral Blood Flow and Mean Arterial Blood Pressure in Rats. Method : When aqua-acupuncture of Carthami Flos(ACF) was injected into LI4, Liv3, B23, B62, GV16, experimental effects of ACF on the regional cerebral blood flow(rCBF) and mean arterial blood pressure(MABP) is not known. Therefor, this study was designed to investigate the effects of ACF on the change of cerebral hemodynamics. The changes of rCBF and MABP were tested by Laser Doppler Flowmetry(LDF). Results : When ACF was injected into LI4, change of rCBF and MABP were decreased in a injected time-dependent manner. When ACF was injected into Liv3, change of rCBF and MABP were decreased in a injected time-dependent manner. When ACF was injected into B23, change of rCBF was significantly increased in a injected time-dependent manner, MABP did not change. When ACF was injected into B62, change of rCBF was increased in a injected time-dependent manner, change of MABP was significantly decreased after injection 60min. When ACF was injected into GV16, change of rCBF and MABP were similar to the change of normal. Conclusions : In conclusion, I suggested that ACF(LI4, Liv3) has an effect that depress the blood pressure & cerebral hemodynamic acceleration and ACF(B23, B62) has an anti-ischemic effect through the improvement of crebral hemodynamics.

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국내 양앵두나무에서 발생한 Cherry green ring mottle virus 동정 (Identification of Cherry green ring mottle virus on Sweet Cherry Trees in Korea)

  • 조인숙;최국선;최승국
    • 식물병연구
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    • 제19권4호
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    • pp.326-330
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    • 2013
  • 2012년 국내 양앵두나무에서 발생하는 CGRMV를 조사하기 위해 화성, 평택, 경주, 김천, 대구, 영주 음성의 양앵두 재배과원 7개 지역에서 잎 시료 154점을 채집하였다. 채집한 시료에 대해 CGRMV 유전자 검정을 수행한 결과 6점의 시료에서 807 bp 크기의 PCR 증폭산물이 검출되었다. 이들 PCR 증폭산물은 클로닝과 유전자 염기서열 분석 결과 GeneBank에 등록된 외국의 CGRMV 분리주들과 88% 이상의 외피단백질 유전자 염기서열 상동성을 보였다. 국내 양앵두나무에서 분리된 분리주들, CGR-KO 1-6 간에는 98.8-99.8%의 염기서열 및 99.6-100%의 아미노산 서열 상동성을 나타내었다. 국내 CGRMV 분리주들은 외피단백질 유전자 계통도 분석에서 기존에 분류된 I, II, III 그룹 중 II 그룹에 속하였다. 또한 CGRMV가 감염된 국내 양앵두나무 이병주들은 ACLSV 등 10종 바이러스에 대해서도 RT-PCR을 수행한 결과 모든 시료에서 ACLSV가 검출되어 CGRMV와 ACLSV가 복합 감염된 것을 확인하였다.

급성기 뇌경색의 위험인자와 NIH stroke scale에 관한 임상적 연구 (Clinical Study on Risk Factors of Acute Brain Infarction And NIH stroke scale)

  • 김도경;정현윤;손호영;이재욱;이영준;최상옥;김경민;김영균;권정남
    • 동의생리병리학회지
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    • 제25권3호
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    • pp.573-581
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    • 2011
  • This study was done to examine the risk factors between controls group and acute brain infarction patients group, and to compare high risk group with low risk group through NIHSS(National Institutes of Health stroke scale). We compared the risk factors between acute brain infarction patients group(N=180) and controls group(N=93). And according to risk factors, we analyzed 1st NIHss, after 3 weeks improved extent within acute brain infarction patients group. The results were as follows. 1. Among the risk factors, HTN, DM, the blood levels of HCY were significantly higher and the blood levels of HDL-C was significantly lower in patients group than controls group. 2. In scale analysis according to risk factors, 1st NIHss were significantly higher in Hypo-HDL-cholesterolemia, Obesity, High-Homocysteine, HTN, DM, previous CVA history group than low risk group within acute brain infarction patients group. 3. In after 3 weeks improved extent analysis according to risk factors, improved extent were lower in Hyperlipidemia, HTN, DM, previous cardiac history, older age group than low risk group within acute brain infarction patients group. The above results suggest that significant risk factors of acute brain infarction, and shows the High risk group that had risk factor of brain infarction recognized from the former research tends to have higher 1st NIHss. Also the High risk group tends to have lower improved extent, but the results are not statistically significant. Furthur research on subject is needed.

소양면 지역사회 환경기초조사 (A Basie Community Health Survey in Rural Korea (Soyang-Myun))

  • 최승렬
    • Journal of Preventive Medicine and Public Health
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    • 제6권1호
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    • pp.133-160
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    • 1973
  • 1. Introduction Community medicine with the concept of comprehensive medical care and an ideal medical care delivery system not only for an individual or family but for the whole community has emerged. In April 1970, the Presbyterian Medical Center started a hospital based community health service project in order to improve the health of the people in rural areas. Prior to commencing a comprehensive medical care system, a family survey was needed. The major objective of this survey was to obtain information concerning the people and their environment so as to be able to plan and implement a comprehensive medical care program in Soyang-Myun. 2. Survey Method An interview using a family record form was carried out for each household. This family record form was designed to get information about demography, family planning, environmental sanitation and vital statistics. Prior to beginning, the members of the survey team were trained in interviewing techniques for three days. The team consisted of a public health nurse, four nurse-aides, a sanitarian and four health extension workers who are working in our project, The survey was carried out during the period November 1971 to March 1972. 3. Project area 1) Population of Soyang-Myun was 11,668; male, 5,962 and female, 5,706. Sex ratio: 104.5. 2) Households : 1,858 3) Family size: The average household consisted of 6.3 persons. 4) Educational level of householder a. Illiterate 13% b. No schooling but able to read 10% c. Preschool children 19% d. Primary school 47% e. Middle school 7% f. High school 3% g. College or University 1% 5) Occupational distribution of householders a. Farmer 67% b. Laborer 13% c. Office worker 4% d. Merchant 4% e. Industrial worker 2% f. Unemployed 8% g. Miscellaneous 2% 6) Religious affiliation a. No religion 74% b. Buddhist 12% c. Protestant 10% d. Catholic 4% 4. Survey results Living Environment : a. Home ownership 95% b. Kinds of roofing Straw-thatched house 84% Tile-roofed house 10% Slate-roofed house 5% Other 1% c. Floor space Less than 6 pyong 10% 6-10 pyong 53% 11-15 pyong 24% 16-20 pyong 9% More than 20 pyong 4% d. Radio ownership 80% Environmental Sanitation : a. the source of drinking water public well 49% private well 30% drainage water 9% steam water 8% well pump 3% water distribution system 1% b. Distance between well and toilet more than 16meters 38% 6-10 meter 31% 11-15 meters 14% Less than 6 meters 17% c. The status of well management Bad 72% Fair 26% Good 2% d. General sanitary state of house Bad 37% Fair 51% Good 12% e. House drainage system had no house drainage. 77% Family Planning : a. 24% of the people have used contraceptives, but 12% ceased to use them. 76% have never used contraceptives. b. used methods 1oop 68% oral pill 16% vasectomy 4% condom 1% tubal ligation 1% two or more methods 10% Maternal Health : a. The number of conceptions of housewives under 50 years of age. 11 times 26% 6 times 11% 5 times 11% 4 times 9% b. The place of delivery own house 88% hospital 1% others 11% Treatment of general sickness : a. The place of treatment Soyang Health Center 31% Hospital (private or otherwise) 26% Pharmacy 14% Herb medicine 5% Private care 5% No treatment 12% Miscellaneous 7% b. Usual causes of diseases Unknown 46% Tuberculosis 29% Neuralgia 8% CVA 3% Bronchitis 3% Others 11%

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침구치료를 통한 Wallenberg's syndrome 환자의 연하장애 치험례 (Case Report on Dysphagia Related to The Wallenberg's Syndrome Improved by Acupuncture Therapy)

  • 윤종민;박세욱;이선우;손지우;김용정;이승언;조창현;조윤성;이인;문병순;이민구
    • 동의생리병리학회지
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    • 제19권6호
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    • pp.1701-1705
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    • 2005
  • Dysphagia is Swallowing disorder characterized by difficulty in oral preparation for the swallow or in moving material from the mouth to the stomach. Dysphagia is the one of the most symptom of CVA and predisposes to medical complications such as aspiration pneumonia in poststroke patients. This study was designed to report the clinical effects of acupuncture for dysphagia on a patient with Wallenberg's syndrome. 8 acupoint were used and videofluoroscopic evaluation were performed. According to the above evaluation, 'Oral transit time' decreased within 1.5 sec and 'Coating of pharyngeal wall after swallow' were disappeared. The above results suggest that acupuncture is beneficial for dysphagia.

중풍(中風) 재활(再活)의 침치료(鍼治療) 효과(效果)에 대한 고찰(考察) -최근 RCT(Randomized controlled trial) 논문을 중심으로- (The Study on the Effectiveness of Acupuncture in Stroke Rehabilitation)

  • 김정은;이재동;강성길
    • Journal of Acupuncture Research
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    • 제22권1호
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    • pp.211-221
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    • 2005
  • 본 논문은 지금까지의 침 치료와 중풍재활에 관해 쓰인 논문들을 살펴보고 그들의 연구방법, 실험과정, 결과들을 분석 평가하여 침 치료가 중풍 재활 치료에 유의함을 가지는지 알아보고자 하였다. 이를 위해 pubmed와 science direct, EBSCO를 검색하고 경희의료원 의학도서관에 소장된 비전산화 저널 자료에 대한 수기 조사를 병행하여 논문 원문 16편을 얻을 수 있었으며 다음과 같은 결론을 얻었다. 1. 검색을 통해 원문을 얻은 논문은 모두 16편이었으며, 그중 9편의 논문이 RCT논문이었다. 2. 중풍 재활치료로써 침 치료가 환자의 전반적 운동기능향상 및 일상생활과 생활의 질의 향상에 유의한 효과를 보인다고 보고한 논문이 3편이었으며, 다른 세 논문은 침 치료가 유의한 효과를 보이지 않는다고 보고하였다. 3. 중풍 후 증상인 spasticity에 대한 두 논문 중 상지의 spasticity에 관련한 논문은 침 치료가 유의하다고 보고하였으며, 하지의 spasticity에 관련한 논문은 이와 반대로 유의하지 않다고 보고하였다. 4. 침 치료와 자세조절에 관한 논문 1편은 침 치료가 중풍 후 자세 조절의 정상화를 촉진시키는데 유의하다고 보고하였다. 5. 9편의 논문 중 침 치료가 유의한 효과를 보고한 논문의 Jadad score는 2점, 2점, 1점, 1점, 1점으로 낮게 나타났으며 유의한 효과를 보이지 않는다고 보고한 논문의 Jadad score는 5 점, 5점, 3점, 1점으로 높게 나타났다.

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뇌졸중 환자가 지각하는 사회적 지지와 희망과의 관계 (The Correlation between Perceived Social Support and Hope of Stroke Survivors)

  • 김경옥;조복희
    • 재활간호학회지
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    • 제4권1호
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    • pp.58-72
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    • 2001
  • A Cerebrovascular accident(CVA), or Stroke is a medical emergency that occurred when the blood supply to the brain is interrupted or blocked. The stroke causes physical function disorder due to hemiparalysis and emotional disorder. Also the stroke patients experience helplessness, powerlessness, sense of alienation and loss of hope. These feelings make the rehabilitation difficult because they lose the will of life. The purpose of this study is to identify the correlation between perceived social support and hope of stroke survivors. The subjects for this study were 100 out-patients with stroke in one general hospital and oriental medicine hospital located in Mokpo. The data were analysed by frequency, t-test, ANOVA. Duncan test, Pearson's correlation, using the SPSS WIN 9.0 program. Data were collected from July 11 to September 9, 2000, using a structured questionnaire. The instruments used for this study : The social support scale developed by Park, Ji-won(1985) and the hope scale developed by Miller(1988). The results were as follows. 1. It was found that the higher the degree of perceived social support, the higher the degree of hope(r=.726, p=.000). Therefore hypothesis was supported. 2. The mean score of perceived social support was 77.8(SD=21.0) with a score range from 27.0 to 104.0. 3. The mean score of perceived hope was 117.0(SD=25.7) with a score range from 57.0 to 160.0. 4. The level of social support depending on general characteristics were significantly different in variables such as marital status(t=3.131, p=.010). degree of income satisfaction(F=16.027, p=.000). 5. The level of hope depending on general characteristics were significantly different in variables such as marital status(t=2.681, p=.040). current job(t=-2.055, p=.043) degree of income, satisfaction(F=11.363, p=.000). For these subjects, there was a significant relationship between social support and hope. The stroke survivors need social support to inspire their hope. Nurses should plan interventions to enhance social support for patients with stroke. The above results may be used as the basic data to seek more efficient way of elevating nursing practice and rehabilitation for the patients with stroke.

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동작관찰훈련이 뇌졸중 환자의 인지기능 향상에 미치는 영향 (The Action-observation Training Impacts on the Improvement of Stroke Patient's Cognitive Functioning)

  • 이슬아;강선화;최원호;이인경;정상미
    • 한국엔터테인먼트산업학회논문지
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    • 제13권1호
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    • pp.199-206
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    • 2019
  • 연구목적은 동작관찰훈련이 뇌졸중 환자의 인지기능 향상에 영향을 미치는가를 알아보고자 하였다. 연구방법으로는 2018년 4월 23일부터 5월 18일까지 경인지역 병원에 입원 중인 재활환자 7명을 대상으로 MMSE-K와 LICA를 사용하여 평가를 진행하였고, 동작관찰프로그램으로는 상지 ROM 댄스, 풀 오버형 옷정리, 운동화 끈 묶기, 수건 개기, 양말 개기, 종이접기, 넥타이 매는 법 총 7가지 과제를 적용하였다. 통계프로그램으로는 SPSS version 20을 사용하였으며 기술통계, Wilcoxon signed ranks을 사용하여 값을 구하였다. 동작관찰훈련을 적용한 결과 MMSE-K 점수는 3.29±1.38의 변화량을 보여 p값 0.001로 유의한 값을 보였고, LICA 점수는 기억력에서 12.16±6.73으로 가장 유의한 값이 나왔다. 결론은 동작관찰훈련이 뇌졸중 환자의 인지기능 영역 중 기억력에서 가장 많은 영향을 미쳤으며, 다른 영역에서도 점수 향상은 있었으나 통계적으로 유의하지는 않았다. 앞으로 동작관찰훈련이 많이 사용되어 추후에는 뇌손상 부위별로 어느 영역에서 효과가 있는지에 대한 후속 연구가 이루어지길 바란다.

급성기 중풍 환자들의 위험요인 및 중풍유형과 변증분형의 관련성 연구 (The Relationship between Stroke Risk Factors, Stroke Subtypes and Diagnostic Pattern in Korean Medicine of Acute Stroke - Multi Center Trials)

  • 신애숙;이인환;곽자영;조승연;박성욱;박정미;고창남;조기호;배형섭
    • 대한중풍순환신경학회지
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    • 제9권1호
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    • pp.19-24
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    • 2008
  • Objectives : This study was conducted as part of the national project to standardize stroke diagnosis in Korean medicine. In this study, we assessed what categories of stroke diagnosis these three most common risk factors of cerebro-vascular attack(CVA), hypertension(HTN), diabetes mellitus(DM) and hyperlipidemia(HL) fall into. Also we looked into stroke subtypes and its diagnosis in Korean medicine. Methods : 806 patients with acute stroke from 5 universities(Kyung-Hee University oriental medical center, Kyung-Hee University East-West Neo Medical Center, Kyungwon university Incheon oriental medical center, Kyungwon university Songpa oriental medical center and DongGuk university Ilsan oriental medical center) across the country were involved from April, 2007 til August, 2008. We had data of 482 patients to be analyzed and diagnosed by a Korean medicine training doctor and a professor. Results : All three major stroke risk factors were diagnosed as being dampness-phlegm pattern, but no significant difference was observed except in hyperlipidemia patients. Stroke subtypes such as hemorrhage and infarction showed no significant difference in this study. Conclusions : This study provides evidence that hyperlipidemia can be diagnosed as dampness-phlegm by Korean medicine. Further studies with various subtypes of stroke patients are required to prove solid evidence with other stroke risk factors.

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냉각에너지를 활용한 바람길 구성요소 분류 - 대구광역시를 사례로 - (Classification of Wind Corridor for Utilizing Heat Deficit of the Cold-Air Layer - A Case Study of the Daegu Metropolitan City -)

  • 성욱제;엄정희
    • 한국조경학회지
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    • 제51권5호
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    • pp.70-83
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    • 2023
  • 최근 산림청이 기후 변화 대응 대책으로써 지자체 바람길숲 조성 사업을 시행함에 따라 다양한 바람길에 대한 연구가 수행되어 오고 있다. 바람길숲 조성을 위해서는 바람길 기능에 대한 평가가 선행되어야 한다. 하지만, 현재 바람길을 직접적으로 평가하고, 바람길의 유형에 따라 공간을 구분할 평가 지표가 없어 간접적인 지표를 기준으로 분석을 수행하고 있다. 따라서 본 연구에서는 냉각에너지 분석을 찬공기 생성에 대한 평가 지표로 활용함으로써 바람길을 평가 및 분류하는 방법을 제안하였다. Kaltluftabflussmodell_21(KLAM_21)이라는 찬공기 분석 모형을 활용하여 냉각에너지 분석을 하였다. 그리고 시뮬레이션 분석 결과에 따라 바람길을 찬공기 생성지역, 찬공기 취약지역, 찬공기 유동지역으로 분류하였다. 냉각에너지량을 기준으로 상위 5퍼센트를 찬공기 생성지역, 하위 5퍼센트를 찬공기 취약지역으로 분류하였다. 또한 찬공기 유동지역은 찬공기 생성지역에서 이동하는 찬공기의 흐름을 파악하여 분류하였다. 분석 결과, 대구광역시의 바람길 6개의 바람 생성지역이 존재하며, 찬공기 취약지역은 시가지 내부에 집중되어 있었고, 찬공기 유동지역은 대구광역시의 주요 하천과 도로를 따라 형성되어 있었다. 본 연구의 방법론을 통해 바람길의 효과를 정량적 평가 방법으로 활용될 수 있을 것으로 기대된다. 또한 바람길숲 조성 사업지 선정에 제시할 수 있는 평가 지표로 활용될 것으로 판단된다.