• Title/Summary/Keyword: 외상성 질환

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$^{99m}Tc-MDP$ Scan in Rhabdomyolysis (횡문근융해증의 골스캔)

  • Zeon, Seok-Kil;Lee, Hee-Jung;Lee, Jae-Tae;Lee, Kyu-Bo
    • The Korean Journal of Nuclear Medicine
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    • v.26 no.1
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    • pp.106-110
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    • 1992
  • 외상, 만성간질환, 화상 및 전신성경련등의 원인으로 발생한 횡문근융해증 9예의 $^{99m}Tc-MDP$ 골스캔을 분석하여 다음과 같은 성적을 얻었다. 동통부위보다 넓은 전신성 병변이 44%에서 확인되었으며 나머지 56%는 국소 동통부위의 근육에만 Bone-seeking agent가 침착되는 것이 확인되있고, 골스캔만으로도 44%에서 신부전증이 동반되었음을 확인할 수 있었다. 전신성 병변은 원인과는 관계없이 출현하였고, 신부전증도 원인질환에는 관계없이 발생하였다. 1예에서 실시한 CT는 국소성 병변만을 보여 주었으나골스캔은 전신성 병변을 나타내어 주었다. 따라서 횡문근융해증의 진단에는 골스캔이 중요함을 확인해주었다.

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Convergence relationship of BMI, Sleep time and Experience of oral disease in Adolescents (청소년의 BMI, 수면시간과 구강질환경험과의 관련성 융합연구)

  • Park, Sin-Young
    • Journal of the Korea Convergence Society
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    • v.11 no.10
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    • pp.387-392
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    • 2020
  • This study was to investigate the relationship of BMI, sleep time and experience of oral diseases in adolescents. We want to help develop basic data for improving oral health of adolescents. According to the sample design of the Youth Health Behavior online survey, a total of 57,303 adolescents were analyzed for frequency of composite samples, x2-test of composite samples, and logistic regression of composite samples, and the IBM SPSS Statistics 20.0 program was used and the significance level was 0.05. Results, BMI was associated with bad breath, and sleep time was associated with tooth break, pain, bleeding, and bad breath. Therefore, BMI and sleep time should be considered for the management and prevention of oral diseases in adolescents.

Traumatic Systemic Artery to Pulmonary Vessel Fistula - A case report - (외상에 의해 발생한 체동맥-폐혈관루 - 1예 보고 -)

  • Kim, Keun-Woo;Kim, Jeong-Ho;Choi, Soo-Jin;Park, Kook-Yang;Park, Chul-Hyun;Lee, Jae-Ik
    • Journal of Chest Surgery
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    • v.40 no.1 s.270
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    • pp.74-78
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    • 2007
  • Systemic artery to pulmonary vessel fistula (SAPVF) is an abnormal communication between the systemic arterial circulation and the pulmonary circulation. Most SAPVF are congenital, but some SAPVF may also develop as a consequence of trauma, neoplasm, and inflammation of pleura or lung parenchyma. A 38-year-old man was referred to our department for hemoptysis. He underwent an operation for traumatic diaphragm rupture 16 years ago. Chest CT scan and angiography revealed SAPVF between several intercostal arteries and pulmonary vessels. He had an angiographic transcatheter embolization and the SAPVF disappeared at follow-up chest CT. To the best of our knowledge, this is the first case report of traumatic SAPVF in Korea.

Classification of Frequently Occurring Disease by Chief Camplaints in Rural Area (농촌지역(農村地域) 주민(住民)에 빈발(頻發)하는 주소(主訴)를 중심(中心)으로 한 질병분류(疾病分類))

  • Kang, Seung-Won
    • Journal of Preventive Medicine and Public Health
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    • v.12 no.1
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    • pp.61-69
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    • 1979
  • In Korea, the regional differences of medical facilities and man-powers are very serious recently. in order to solve rural medical problem, the comprehensive health care service is required earnestly in rural area. The present study was performed to provide the material for rural medical policy by analyzing the diseases occurring frequently in rural area and assuming the paramedical workers' abilities of medical treatment. The frequently by occurring diseases were classified by investigating. The chief complaints of 4559 subjects through home visiting for last weeks occurred in 1978. The paramedical workers' abilities of medical treatment were investigated by analyzing the clinical charts of patients treated by paramedical workers by systemic health care delivery system from, September 1977 to December 1977. The results obtained are summarized as fellows; 1. The rate of disease suffering recently for 2 weeks was 22.5% in Rural area. 2. The rate of respiratory disease was 36.%, gastrointestinal disease 18%, trauma 8% and neuromuscular disease 7.5%, respectively. 3. The coverage of treatment by health workers was 97.6% in general practitioner, 70% in community health practitioner and 42.1% in community health aid, respectively.

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당뇨병성 족부질환 - 당뇨족

  • Kim, Seong-Yeop
    • The Monthly Diabetes
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    • s.289
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    • pp.37-41
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    • 2013
  • 당뇨 족은 하지 절단의 비외상성 원인의 가장 많은 부분을 차지한다고 합니다. 당뇨 환자에서는 하지를 절단할 가능성이 당뇨가 없는 환자보다 최저 15배에서 최고 46배까지 높다는 보고가 있습니다. 더욱이 당뇨족에 의한 합병증은 당뇨 환자의 입원 이유 중 25%에 이른다는 보고도 있습니다. 대부분의 당뇨 족 환자에서 합병증은 피부 궤양에서 시작되는데 일찍 발견하여 적절히 치료하는 것이 하지 절단을 피하는 것에 있어 매우 중요합니다. 이를 방치하였을 때 하지 절단으로 이어질 수 있는 당뇨 족의 원인 예방, 진단 및 치료에 대해 알아보도록 하겠습니다.

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Recurrent Gastrobronchial Fistula after Esophagectomy -one case report- (식도암 적출술후 발생한 재발성 위-기관지 누공)

  • 임수빈;조재일
    • Journal of Chest Surgery
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    • v.34 no.2
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    • pp.189-193
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    • 2001
  • 위기관지 누공은 매우 드문 질환으로 대부분의 경우 외상, 상부위장관 수술, 횡경막하 농양, 양성 위궤양, 신생물 등 이 원인으로 생각된다. 식도암의 Ivor Lewis 수술후 2년과 3년에 양성 위궤양으로 인해 발생한 재발성 위기관지 누공 1예를 문헌고찰과 함께 보고하는 바이다.

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Tuberculous Subdeltoid Bursitis - A Case Report - (결핵성 삼각근하 점액낭염 - 증례 보고 -)

  • Lee, Woo-Seung;Yoon, Jung-Ro;Kang, Kyu-Bok;Yang, Jae-Hyuk;Lim, Hyung-Tae
    • Journal of the Korean Arthroscopy Society
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    • v.14 no.1
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    • pp.45-48
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    • 2010
  • We report a case of an 85-year-old woman with tuberculous subdeltoid bursitis. Tubeculous bursitis without adjacent joint tuberculosis may occur any site but it is rare. It is common in bursae subjected to trauma like trochanteric, prepatellar, olecranon and so on. Because the clinical findings or physical examination of tuberculous subdeltoid bursitis are similar to rotator cuff disorder and the MRI or arthroscopic findings are similar to synovial diseases, careful differential diagnosis is necessary.

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Change of Temperament and Personality in Post-traumatic Stress Disorders (외상후 스트레스장애에서 기질 및 성격의 변화)

  • Choi, Hyosun;Kim, Daeho;Kim, Eunkyeong
    • Korean Journal of Psychosomatic Medicine
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    • v.28 no.2
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    • pp.155-160
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    • 2020
  • Objectives : This study investigate to identify the stability of temperament and personality characteristics of patients including Posttraumatic Stress Disorder (PTSD) patients. Methods : The number of subjects was 102, of which 33 were PTSD patients and 69 were non-PTSD patients. To demonstrate the change in individual temperament and personality characteristics, Temperament and Character Inventory (TCI) were administered repeatedly on the subjects. Repeated measures ANOVA and simple main effects analysis were conducted. Results : When analysed by dividing the subjects into PTSD groups and non-PTSD groups, the differences between the primary and secondary tests did not appear in the non-PTSD groups, but the differences between the primary and secondary tests were significant in Harm Avoidance (HA), Reward Dependence (RD), Self-Directedness (SD), Cooperativeness (C). In addition, it was noted that the time and group interaction effects of HA, RD, SD and C were significant, and that the main effects of time of HA, RD, SD and C were significant. Conclusions : This study is meaningful in that in the course of experience and recovery of traumatic events, we have clinically confirmed that changes in the temperament, known as stable variables, are possible.

Full mouth rehabilitation of iatrogenic attrition patient (의원성 마모 환자의 전악 수복 증례)

  • Lim, Na-Kyung;Shin, Soo-Yeon
    • The Journal of Korean Academy of Prosthodontics
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    • v.59 no.2
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    • pp.228-237
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    • 2021
  • Physiologic tooth attrition is accepted as a natural change. But when pathologic changes, such as loss of occlusal vertical dimension, masticatory pain, loss of masticatory function, and loss of esthetics occur, restorative measures should be taken by dentist. A patient visited the clinic with the chief complaint of 'My lower teeth bite the palate and it hurts'. It was diagnosed as iatrogenic attrition of lower natural dentition caused by inappropriate upper restorations, resulting in traumatic overbite. Through model analysis and diagnostic wax up, increase in vertical dimension was decided. Upper and lower dentitions were restored with new prostheses. After restoration, satisfactory outcomes were achieved both in functional and esthetic aspects.

Long-Term Survival Benefit of the Bronchial Arterial Embolization for Patients Presenting with Non-Traumatic Hemoptysis in a District Emergency Center (권역 응급의료센터에 내원한 비외상성 객혈 환자에서 기관지 동맥 색전술의 장기 생존 효과)

  • Chon, Song Bin;Jung, Sung Koo;Kwak, Young Ho;Suh, Gil Joon;You, Eun Young;Shin, Sang Do
    • Tuberculosis and Respiratory Diseases
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    • v.57 no.2
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    • pp.148-159
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    • 2004
  • Background : This study was conducted to evaluate the survival benefit of the bronchial arterial embolization (BAE) for patients presenting with non-traumatic hemoptysis. Methods : The clinical data were retrospectively collected from the medical records and the Order Communicating Systems (OCS). The information dealing with death was collected from national death certificates. After enrolled patients were divided with two group such as BAE group (patients who were managed with BAE) and non-BAE group (patients who were managed with conservative modality), the survival benefit of BAE was estimated during the observational period of 24 months through using the Kaplan-Meier survival graph and the Cox-proportional hazard regression analysis. Results : The number of total cases was 272. Of these, BAE group involved 63 and non-BAE group involved 209. 69 cases had the malignant pulmonary lesions, 149 cases had non-malignant chronic lung lesion such as the mycobacteria infection, fungus ball, or bronchiectasis (BE), and 54 cases had the other pathologic conditions. For each sub-groups such as 'malignant lung lesion' group, 'non-malignant chronic lung lesion' group as well as about all cases, the adjusted hazard ratios (HRs) of BAE for death was not significantly different compared to the conservative management. But the adjusted HRs as to underlying causes such as 'malignant lung lesion' group and 'the other conditions' group increased significantly compared to 'non-malignant chronic lung lesion' group. Conclusion : There was no significant survival benefit by BAE procedure on survival in patients presenting with non-traumatic hemoptysis.