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Background: We investigated how cataract surgery might influence long-term intraocular pressure (IOP) change in both healthy subjects and glaucoma patients. Methods: A retrospective analysis of patients who had had clear corneal phacoemulsification with a minimum of 12 months of follow up was performed. Glaucoma patients with medically controlled open-angle glaucoma and healthy subjects with no glaucoma were included in the analysis. The change of IOP after phacoemulsification and factors associated with postoperative IOP change were investigated. Results: In total, 754 eyes of 754 patients, specifically 106 patients with glaucoma and 648 patients with no glaucoma (i.e., healthy subjects) were enrolled. The phacoemulsification effected a reduction of IOP: 1.03 ± 3.72 mmHg in healthy subjects and 1.08 ± 3.79 mmHg in glaucoma patients at postoperative 1 year (P = 0.656). There were negative coefficients of IOP until 1 year of follow up (all P < 0.001), but the IOP change gradually showed a less steeply decreasing slope (correlation coefficient: −0.993), compared with those for 1 week and 1 month of follow up (correlation coefficients: −1.893 and −1.540, respectively). In the multivariate analysis, age and preoperative IOP showed significant associations with postoperative IOP change (regression coefficients: −0.034 and 0.419 respectively, all P < 0.001). Conclusion: Phacoemulsification resulted in IOP reduction, which effect regressed in healthy subjects and glaucoma patients over the course of long-term follow up. Therefore, long-term monitoring of IOP change is needed. In cases of higher preoperative IOP and young patients, phacoemulsification alone is a reliable option for IOP control.
Objectives : The purpose of this study is to observe the inhibitory effects of Chrthami semen oil pharmacopuncture(CSOP) on CIA (collagen-induced arthritis) mice. Materials and Methods : Two types of experiments were conducted: in vitro assay, inhibition of MIF mRNA and TNF-α mRNA expressions in synovial membranes was observed, and in vivo assay, 1 ㎕/㎏ CSOP was injected every day to the left Weizhong (BL40) from day 3 to 21 after induction of CIA, and changes in paw edema, apical surface morphology, neovascularization in synovial membranes, fibrosis, pro-inflammatory cytokines production, Th-1 differentiation, and anti-inflammatory effect were investigated. Results : 1. In synoviocytes of the CIA mice treated with CSOP, MIF mRNA and TNF-α mRNA expressions were down-regulated in a dose-dependent manner. 2. Paw edema of the CIA mice treated with CSOP was diminished. 3. Tissue injury in the synovial membranes, capillary distribution and fibrosis were reduced in CSOP-treated mice. 4. MIF, TNF-α, IL-6, MMP-9 expressions were repressed in CSOP-treated mice during the experiment to observe the inhibitory effect on cytokines production in early stage RA. 5. IL-12 and CD28 were reduced in CSOP-treated mice during the observation of inhibitory effect on Th1 differentiation. 6. PPAR-γ was increased during the experiment to observe the anti-inflammatory effect of CSOP. Conclusions : The results may suggest that administration treatment using Chrthami semen oil pharmacopuncture decreases the inflammatory response on an Animal Model with CIA.
Objective : The following study was undertaken in order to seek the acupuncture operation method of <<Sang Han Lun(傷寒論)>> Liu-Jing-Bian-Zheng(六經辯證). Methods : Based on the documents quoted in <<Sang Hang Za Bing Lun ․ Xu Wen(傷寒雜病論 ․ 序文)>> of "Zhang, Zhong-Jing(張仲景)", the relativity of the theory of Jing-Mai(經脈) and Liu-Jing-Bian-Zheng of convalescence, and from the Liu-Jing-Bing(六經病), the origin and implication that caused Tai-Yang-Bing(太陽病) to form was studied on the basis of acupuncture medicine publications and the commentary writing of <<Sang Han Lun>>. Results 1. <<Sang Han Lun>> Liu-Jing-Bian-Zheng has succeeded and was developed based on Liu-Jing-Fen-Zheng(六經分證) of <<Su Wen ․ Re Lun(素問 ․ 熱論)>>. In addition, the summary of Liu-Jing-Bing became the general principle of Fen-Jing(分經) and Ding-Zheng(定證) that may be applicable to Fenghan(風寒), Wenre(溫熱), Lili(疫癘) and Zabing(雜病). 2. Most commentators of <<Sang Han Lun>> in the Song, Ming and Ching Dynasties of <<Sang Han Lun>> interpreted the Tai-Yang-Bing in physiological and pathological aspects of Rong-Wei(榮衛) as the disease of the bladder meridian that oversees the skin of the human body. 3. From the Liu-Jing-Bing of <<Sang Han Lun>>, the region of acupuncture treatment of Tai-Yang-Bing is treated with the needle from the point of view of Bing-Zheng-Lun-Zhi(辨證論治) with the basis of the important region of acupuncture of the small intestine meridian ․ bladder meridian and governor vessel.
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Purpose: To report a case of orbital apex syndrome induced by penetrating orbital injury by a wire with the recovery process and clinical outcomes. Case summary: A 40-year-old female visited our clinic after a penetrating orbital injury through the left inferomedial conjunctiva by a wire. The best corrected visual acuity of the left eye was 0.6, and ptosis and total ophthalmoplegia were observed. The patient showed a dilated pupil, swelling of the optic disc on fundus exam, and an inferior field defect on the automated perimetry. The computed tomography image revealed mild retrobulbar hemorrhage, but there was no orbital bony fracture. Enhancement of the optic nerve sheath was observed on the magnetic resonance image. The patient was admitted and received systemic antibiotics and steroid treatment. After 1 month, visual acuity, ptosis, and limitation in adduction were partly improved. After 3 months, depression and adduction were improved and the pupil size was normalized. However, further improvement was not observed after the one-year follow-up. Conclusions: The recovery from orbital apex syndrome was achieved until 3 months after injury. The final outcomes may depend on the mechanism and pathophysiology of the injury. Emergent diagnosis and proper management are essential to achieve optimal clinical results.
Unlike adults, cognitive ability and communication are not accurate in pediatric patients. Therefore movement due to psychological anxiety in X-ray photography is one of the factors that increase repeated irradiation. In order to minimize the rejection of X-ray and to improve the satisfaction of medical service, it is necessary to improve the environment of the radiological room to help psychological stability and to find a positive measure for reduction of radiation dose, including unnecessary. The subjects of this study were 186 pediatric patients from May to July, 2017, who were from 6 months to 36 months, The study group was set up a radiological room without auditory and visual environment changes is A group, except for changes in visual environment, the room where only auditory environmental changes were applied was group B, the auditory environment changes were excluded, and the room where only the visual environment change was applied was divided into group C, the auditory and visual environment changes were applied to the D. In group A, 10 retrospectives were obtained, 7 in group B, 5 in group C, and 2 in group D. Especially in group A and group D, statistically significant at p <0.053 In conclusion, hearing and visual environment changes affected the psychological stability of pediatric patient , and the repeated irradiation was reduced, thus improving the quality of medical services. 성인과 달리 소아의 경우 인지능력과 의사전달이 정확하지 않아 X선 검사에 있어 심리적 불안감으로 인한 움직임은 재검사를 증가시키는 요인 중 하나이다. X선 검사라는 거부감을 최소화하고 의료 서비스의 만족도를 향상하기 위한 방법으로 검사실의 환경을 개선하여 심리적 안정에 도움을 주어 검사과정에서 발생하는 불필요한 재검사를 비롯한 피폭선량 절감에 긍정적인 방안을 알아보고자 하였다. 실험대상으로는 2017년 5월부터 2017년 8월까지 본원 일반촬영실에서 만 6개월 이상∼만 36개월 미만의 총 186명의 소아를 대상으로 청각과 시각적 환경변화를 모두 적용시키지 않는 평소 검사실을 A 군, 시각적 환경변화는 제외시키고 청각적 환경변화만 적용한 검사실을 B 군, 청각적 환경변화는 제외시키고 시각적 환경변화만 적용한 검사실을 C 군, 청각과 시각적 환경변화를 모두 적용한 검사실을 D 군으로 설정하여 연구를 진행하였다. A 군에서는 재검사 건수가 10건, B 군 7건, C 군 5건, D 군 2건의 결과를 도출할 수 있었다. 특히 A 군과 D 군에서 통계학적 유의수준 p<0.053으로 유의 하다는 결과를 얻을 수 있었다. 결론적으로 청각과 시각적 환경변화가 소아 심리적 안정에 많은 영향을 미쳤으며, 재검사 건수도 감소하여 의료서비스의 질적 향상 보였다.