• Title/Summary/Keyword: 부종

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Acute Hemorrhagic Edema of Infancy Associated With Coronavirus Disease 2019

  • Jong Ki Jung;Young June Choe; Hwa Jung Ryu;Won-Hee Seo
    • Pediatric Infection and Vaccine
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    • v.30 no.3
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    • pp.188-192
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    • 2023
  • Acute hemorrhagic edema of infancy (AHEI) is a rare, benign, vascular condition that primarily affects infants, and is possibly associated with respiratory viral infections. A case involving a 47-day-old male infant, who was admitted with a 1-day history of fever, is presented. Initially, the patient developed an erythematous macular rash and patches on the hands and feet, along with swelling. The fever subsided after the first day of hospitalization, and the patient remained in generally good condition with normal oral intake. Timely recognition of AHEI is crucial to avoid unnecessary medical investigations or therapies, and to promptly identify any rare but potentially severe complications that may arise.

Early Diagnosis of Burkitt Lymphoma on the Mandible: A Case Report (하악골에서 발생한 Burkitt 림프종의 조기발견과 진단)

  • Kim, Miae;Park, Jihyun;Mah, Yonjoo
    • Journal of the korean academy of Pediatric Dentistry
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    • v.43 no.4
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    • pp.452-460
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    • 2016
  • Burkitt lymphoma (BL) is an aggressive form of non-Hodgkin's B-cell lymphoma found primarily in the pediatric population. In the oral cavity, this tumor can grow rapidly and often brings about facial swelling or development of an exophytic mass involving the jaws. A 5-year-old boy was referred for swelling and pain in the left mandibular area. The patient showed diffuse swelling on the left side of the mandible and firm-moderate tenderness upon palpation. An intraoral examination showed moderate mobility and sensitivity to percussion on the left primary first and second molars, without severe caries. A radiographic examination revealed complete loss of the lamina dura on the left primary second molar and permanent first molar. There was a radiolucent osteolytic lesion and destruction of the cortical bone of the left mandibular body. Based on the clinical, radiographic, and immunohistochemical findings, the patient was diagnosed with BL, and was referred to a pediatrician for systemic evaluation and intensive chemotherapy. Even before the completion of chemotherapy, the swelling resolved and the displaced teeth were relocated to a normal position. This patient showed a good prognosis due to prompt diagnosis and intensive chemotherapy. Early diagnosis and referral for treatment can prevent the development of BL.

Case about cardiogenic general edema of Soeumin apoplexy patient (소음인(少陰人) 전신부종(全身浮腫)에 대한 증례(證例))

  • Shin, Mi-ran;Kim, Sun-hyung;Kim, Dal-rae
    • Journal of Sasang Constitutional Medicine
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    • v.12 no.1
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    • pp.265-270
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    • 2000
  • Occasionally, apoplexy is caused by functional or physiologic cardiopulmonary abnormality. In addition, theses may become the factor of aggravating apoplexy and involve complication. If patient has cardiopulmonary disease, progressing of apoplexy is commonly used to be accelerate and prognosis is deteriorative. There by the patient who has cardiopulmonary disease, should be particularly treated for cardiopulmonary disease. We got good result, during treat Soeumin cerebral vascular infarction patient who has pulmonary edema leaded from congestive heart failure, with Sasang Constitutional treatment. Therefore I reported them here. She was 68 years old, female patient. She visited our hospital for apoplexy with right side hemiparesis, dysphagia, dysphasia. After her admission into our hospital, we knew that she has congestive heart failure. The diagnosis is established. She presented with severe general edema and pulmonary edema. Although Soeumin edema usually classified as Taiyin Disease, we classified this as Shaoyin Disease, through diet, discharge, sleep, tongue and symptoms. We has prescribed Gungguichongsoyijung-tang(芎歸蔥蘇理中湯) in accordance with the principle of invigorating the Spleen and lower Yin(建碑而降陰). And her symptoms has improved.

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Effects of the Application of Lower Extremities Exercise and Elastic Compression Stockings on Edema and Pain of Lower Extremities in Nurses (하지운동과 탄력압력스타킹 적용이 일종합병원 간호사의 하지부종과 하지통증에 미치는 영향)

  • Choi, Young-Soon
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.16 no.11
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    • pp.8037-8045
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    • 2015
  • The purpose of this study was to identify the effects of the application of elastic compression stockings and lower extremities exercise on edema and pain of lower extremities in hospital nurses. The participants were 30 hospital nurses working at a general hospital. The participants were categorized into three groups such as, 10 for an experimental group of the application of the elastic compression stocking, 10 for another experimental group of the application of Lower extremities exercise and 10 for a control group. Edema of the lower extremities were measured in terms of the girths of ankles and calves. And pain of the lower extremities were measured in terms of the score by NRS(Numerical Rating Scale). The data were analyzed with Frequency, Percentage, Mean, Standard Deviation, ${\chi}^2$-test and ANOVA to identify the participants' characteristics, SPSS Win 21.0 program was used for analysing. There are significant differences in lower extremity edema among the experimental group of lower extremities exercise, experimental group of elastic compression stocking and control group was supported(Rt Calf F=0.645, p=.000, Lt Calf F=21.941, p=.000). There are significant differences in lower extremity pain the experimental group of lower extremities exercise, experimental group of elastic compression stocking and control group was supported(Rt: F==7.320, p=.000 Lt: F=10.623, p=.000). In conclusion, in has been appeared that the lower extremities exercise and wearing elastic compression stocking have effedted in relieving low extremity edema and pain scale for nurses.

Effect of Intracarotid Cold Saline Infusion during Cerebral Ischemia on Brain Edema in the Rabbit (뇌허혈기동안 경동맥으로 냉각 생리식염수 주입이 허혈후 뇌부종에 미치는 영향)

  • Kim, Sae-Yeon;Choi, Kyu-Taek
    • Journal of Yeungnam Medical Science
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    • v.12 no.2
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    • pp.260-268
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    • 1995
  • Ischemia results when the decrease in tissue perfusion exceeds the tissues ability to increase an oxygen extraction from the blood. Brain edema has been defined as an abnormal accumulation of fluid within brain parenchyma associated with a volumetric enlargement of the brain tissue. In most instances, the labelling of edema as vasogenic or cytotoxic is only relative. For cerebral protection, there were many possible techniques which could increase or maintain cerebral perfusion and reduce cerebral metabolic demand for oxygen. This study was carried out the effect of mild brain hypothermia which was induced by infusion with cold saline into the carotid artery, during brief episodes of transient global ischemia on postischemic brain edema in rabbit. Eight rabbits were anesthetized with halothane and mechanically ventilated with oxygen. For isolated cerebral perfusion, polyethylene catheter was inserted left carotid artery for infusion of cold saline, external carotid artery was ligated, vertebral arteries were cautherized, right carotid artery was snared for ischemia and femoral artery and vein were also canulated for monitoring and drug treatment. At 3 hours After transient global ischemia, specific gravity of cerebral cortex and hippocampus was compared with no-perfusion group , perfusion with cold saline group and normal group. There was no significant differences in physiologic variables among the groups before transient global ischemia. But during transient global ischemia, brain temperature of perfusion group was decreased when compared to no perfusion group. Specific gravity of cerebral cortex and hippocampus of no-perfusion group and perfusion group was statistically significant when compared to normal group (p<0.01). The results of this study suggested that mild brain hypothermia with intracarotid cold saline infusion during brief episodes of transient global ischemia had decreased postischemic brain edema in rabbit.

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High School Teachers and Parents' Perceptions on the Evaluation Criteria of School-Record Focused Selection System: Focusing on the Case of J University (학생부종합전형의 평가 요소와 기준에 대한 고등학교 교사와 학부모의 인식: J대학 사례를 중심으로)

  • Lee, Je-Young;Baek, Kwang-ho;Baek, Min-kyung
    • The Journal of the Korea Contents Association
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    • v.21 no.2
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    • pp.374-385
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    • 2021
  • The purpose of this study were to examine the high school teachers' and parents' perceptions on the evaluation criteria and standard of the school record-focused selection system, and to provide basic data on the development of college admission systems in order to measure student competencies more fairly and accurately. To this end, 102 high school teachers and 68 parents with high school children nationwide were surveyed online. The online questionnaire was produced based on the student screening criteria of J university and consisted largely of the following three areas: 'document evaluation', 'interview evaluation', and 'demographic survey'. The results are as follows. First, both teachers and parents said that the school record-focused selection system is a college admission format that can contribute to the activation of the 2015 revised curriculum. Second, both teachers and parents responded that personality, aptitude and potential are all important factors in document evaluation and interview evaluation. Third, school record-focused selection systems should continue to be maintained in order to promote the 2015 revised curriculum, but securing fairness in the admission process should precede that. Based on the results of the study, suggestions were made in order to improve the college admission system.

Pattern Clustering of Symmetric Regional Cerebral Edema on Brain MRI in Patients with Hepatic Encephalopathy (간성뇌증 환자의 뇌 자기공명영상에서 대칭적인 지역 뇌부종 양상의 군집화)

  • Chun Geun Lim;Hui Joong Lee
    • Journal of the Korean Society of Radiology
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    • v.85 no.2
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    • pp.381-393
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    • 2024
  • Purpose Metabolic abnormalities in hepatic encephalopathy (HE) cause brain edema or demyelinating disease, resulting in symmetric regional cerebral edema (SRCE) on MRI. This study aimed to investigate the usefulness of the clustering analysis of SRCE in predicting the development of brain failure. Materials and Methods MR findings and clinical data of 98 consecutive patients with HE were retrospectively analyzed. The correlation between the 12 regions of SRCE was calculated using the phi (φ) coefficient, and the pattern was classified using hierarchical clustering using the φ2 distance measure and Ward's method. The classified patterns of SRCE were correlated with clinical parameters such as the model for end-stage liver disease (MELD) score and HE grade. Results Significant associations were found between 22 pairs of regions of interest, including the red nucleus and corpus callosum (φ = 0.81, p < 0.001), crus cerebri and red nucleus (φ = 0.72, p < 0.001), and red nucleus and dentate nucleus (φ = 0.66, p < 0.001). After hierarchical clustering, 24 cases were classified into Group I, 35 into Group II, and 39 into Group III. Group III had a higher MELD score (p = 0.04) and HE grade (p = 0.002) than Group I. Conclusion Our study demonstrates that the SRCE patterns can be useful in predicting hepatic preservation and the occurrence of cerebral failure in HE.

Diffusion-Weighted MR Imaging of the Brain Tumors: The Clinical Usefulness (두개강내 종양의 확산강조자기공명영상: 임상적 유용성)

  • 이영철;서정진;정광우;강형근;김윤현
    • Investigative Magnetic Resonance Imaging
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    • v.4 no.1
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    • pp.34-41
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    • 2000
  • Purpose: To evaluate the clinical usefulness of diffusion weighted MR imaging(DWI) in the differential diagnosis of brain tumors. Materials and methods: DWI and conventional MR images of nineteen patients with brain tumors(10 metastatic tumors, 4 high grade gliomas, 4 low grade astrocytomas, one oligodendroglioma)were obtained on 1.5T unit. DWI was obtained using single shot spin echo planar imaging with b-value near 1000. We analyzed the signal intensities of lesions including solid portion, necrotic or cystic portion and peritumoral edema of brain tumors (classified five grades comparison with the signal intensities of brain parenchyma and CSF)and calculate the SIR(signal intensity ratio)of lesions to the contralateral normal brain parenchyma. We analyzed statistically the signal intensities and SIR of tumors using independence T test. Results: In solid portions of tumors, all the metastatic tumors and high grade gliomas showed high signal intensities, but low grade astrocytomas and oligodendroglioma showed iso or slight high signal intensities to the normal brain parenchyma. The SIR of solid portion has positive correlation with malignant pot ential(metastatic tumors 1.52, high grade gliomas 1.38, low grade astrocytomas 1.16, oligodendroglioma 1.31)(p < 0.05). In peritumoral edema where seen in 14 tumors, seven of 10 metastatic tumors and two of 4 high grade gliomas showed iso signal intensities, whereas edemas in other 5 brain tumors showed hyperintense to the normal brain parenchyma. The SIRs of peritumoral edemas in metastatic tumors (1.14) was lower than high grade gliomas(1.31),but statistically insignificant. The SIR of cystic or necrotic portion of brain tumors was 0.63. In non enhancing solid portions, three of six cases showed hyperintense to the adjacent peritumoral edema. Conclusion: On DWI, the signal intensities of solid portion has positive correlation with malignant potential, and perilesional edema of brain tumors appear various signal intensities owing to "T2 shine through effect" and the extensiveness of vasogenic edema. Another merit using DWI on the evaluation of brain tumors is to improved better delineation of tumor margins from the adjacent edemas, especially at the non enhancing solid portion of the tumors.

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Lymphedema (림프부종)

  • Yeom, Chang-Hwan;Heon, Young-Seon;Choi, Youn-Seon
    • Journal of Hospice and Palliative Care
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    • v.3 no.2
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    • pp.118-125
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    • 2000
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