ABSTRACT
BACKGROUND/AIMS@#As numbers of maintenance hemodialysis patients are growing, debilitating conditions of muscle wasting and atrophy are becoming some of the greatest concerns in end-stage renal disease patients. Exercise training has various potential benefits in terms of prevention of a sustained decline in functional status. This study aimed to evaluate the physical, psychological, laboratory, and dialysis-related effects of intradialytic exercise.@*METHODS@#We enrolled 22 patients from a hemodialysis center for a 6-month non-randomized prospective trial. Combination of aerobic exercise with bicycle ergometer and anaerobic exercise with elastic bands was conducted during hemodialysis. Data including physical fitness test results, dialysis-related measurements, and biochemical laboratory results were collected at baseline, 3, and 6 months. Depression and quality of life were assessed using Beck Depression Inventory and Short Form-36 health survey.@*RESULTS@#After exercise completion, there were significant improvements in back muscle power, forward and backward trunk flexibility, vertical jump, elbow flexion, sit to stand test, and 6-minute walk test (p < 0.05). No significant changes were observed in dry weight, blood pressure, Kt/V, and biochemical variables, except for intradialytic hypotension (p < 0.05). For depression, Beck Depression Inventory showed statistically significant enhancement (p < 0.05). Scores of Short Form-36 health survey did not show significant increase in each domain, except for bodily pain (p < 0.05).@*CONCLUSIONS@#Combined aerobic and anaerobic exercise training during dialysis was found to be effective on physical health status, intradialytic hypotension, and depression in terms of mental health. Therefore, the findings of the current study may provide an appropriate guidance for encouraging exercise by nephrologists.
ABSTRACT
This research is a study about constitutional diagnosis through the external appearances. Especialy it is for finding shape differences of the upper -face pictures of moire, according to the Sa -sang constitution. We have collected 113 cases of patients of the Sasang Constitutional Department, including employees of the Kyung -Hee Medical Center and took pictures of moire of upper face and measured 50 points. We analyzed shape differences of the upper face according to the Sasang constitution. Analysing the moire of upper face, the characteristics according to sasang constitution presented. Soyangin had a projected part of left upper face compared with taeumin and soeumin, and taeumin had a projected part of right upper face. With the image of moire, the characteristics of upper face according to sasang constitution was found.
Subject(s)
Humans , Constitution and Bylaws , DiagnosisABSTRACT
No abstract available.
Subject(s)
Lung Neoplasms , Lung , Proliferating Cell Nuclear AntigenABSTRACT
Fracture of odontoid process is relatively common, but fracture of axis body without fracture of odontoid precess is known to be exceptionally. Recently, we have experienced a case of axis body fracture complicating typical Brown-Sequard syndrome below the level of C4, and we present the case with the review of literature.