• Title/Summary/Keyword: 위석

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성인병 뉴스 제314호

  • The Korea Association of Chronic Disease
    • The Korean Chronic Disease News
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    • no.314
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    • pp.1-26
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    • 2007
  • 강원도 횡성군 보건소 염경숙 소장/대대적 국가암관리사업 추진/노인장기요양보험 3차 시범 내달 시행/만성질환 예방의식 고취 총력/65세 이상 노인 30%가 당뇨 환자/성인 3명 중 1명 중증 안구건조증 환자/“감 잘못 먹으면‘위석’생긴다”/방문보건.재가복지통합사업 성과 커/자율방역봉사단 구성 맞춤형 모기방제 실시/보건의료투자 전략, 어떻게 추진되나/고령친화 모델지역 기본 구상/생명표 작성, 국민건강실태 분석/

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A case of gastric trichobezoar causing psychiatric problems (정신적 문제로 인한 털위석 1례)

  • Seo, Ji Young;Kim, Min Young;Noh, Jae Ho;Kim, Chun Dong;Park, Jae Ock;Choi, Gyo Chang
    • Clinical and Experimental Pediatrics
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    • v.52 no.10
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    • pp.1167-1170
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    • 2009
  • Trichobezoar is characterized by the accumulation of hair in the gastrointestinal tract and usually occurs in those who have trichotillomania, other psychiatric disorders, or neurologic problems. Trichobezoar typically presents as gastric obstruction, including abdominal pain, vomiting, anorexia, and weight loss. A 9-year-old girl visited our clinic with the complaint of abdominal discomfort and vomiting. A review of her medical history revealed that she had trichophagia since the age of 5, and she felt that her parents had been strict with her. She underwent gastrotomy, during which a large trichobezoar was removed. This case highlights the importance of psychiatric and comprehensive approaches in patients with trichobezoar.

A Case of Trichobezoar with Small Bowel Obstruction (소장 폐색이 동반된 모발석증 1예)

  • Park, Jin-Sung;Kim, Hong-Joo;Chung, Ju-Young
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • v.12 no.2
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    • pp.230-234
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    • 2009
  • Trichobezoars are commonly found within the stomach, but rarely induce small bowel obstruction. We report an 8-year-old girl who presented with bilious vomiting and colicky abdominal pain. She had a history of depression and trichophagia. A diagnosis of small bowel obstruction was made on computed tomography and a trichobezoar in the ileum was evacuated by exploratory laparatomy.

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A Case of Huge Gastric Bezoar Removed by Endoscopic Combination Therapy with Coca-Cola Injection (코카콜라 주입 치료를 병용하여 내시경으로 분쇄 치료한 거대 위석 1예)

  • Jung, Min Suk;Lee, Jang Won;Lee, Seung Hyun;Kim, Dong Hyun;Byun, Sang Hwan;Kim, Yeong Muk
    • Journal of Yeungnam Medical Science
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    • v.30 no.1
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    • pp.62-65
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    • 2013
  • Gastric bezoars are concretion of undigested material in the gastrointestinal tract. In the past, gastric bezoars were generally treated with surgical management. Recently, the efficacy of oral intake or endoscopic injection therapy with Coca-Cola has been reported. We report a case of a 47-year-old-man with huge gastric bezoar ($4{\times}2.5$ cm) that was successfully removed by endoscopic fragmentation with Coca-Cola injection. Compared with a single endoscopic fragmentation therapy, the combination therapy with Coca-Cola injection shortened the procedure time and reduced the complication associated with fragmented bezoar.

A Case of Trichobezoar in a Child Who Visited with Intermittent Abdominal Pain, Nausea and Vomiting (간헐적 복통과 오심, 구토로 내원한 Trichobezoar 1례)

  • Ahn, Seung-In;Yoo, Jung-Suk;Oh, Kyung-Chang;Kim, Bong-Lim;Kim, Sung-Sup;Kim, Yeun-Ho;Chang, Jin-Keun
    • Clinical and Experimental Pediatrics
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    • v.48 no.4
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    • pp.433-437
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    • 2005
  • Bezoars are concretions commonly found in the stomach and small bowel, and four types of bezoars have been described based on their composition : trichobezoar, phytobezoar, lactorbezoar, and miscellaneous. Bezoars most often develop after gastric operations that alter the motility, emptying, and grinding of food in the stomach. Trichobezoars are most common in female children with normal gastrointestinal function and are usually associated with pica, mental retardation, and psychiatric disorders. Although uncommon, bezoars are a well-recognized cause of chronic abdominal complaints which, when undiagnosed, can result in serious complications including gastric ulceration, bleeding, perforation, intussusception and small bowel obstruction. Mortality rates of up to 30 percent have been reported in adults. Trichotillomania is behaviors surrounding hair-pulling, including stroking and playing with hair before pulling, or biting and swallowing the hair after it has been pulled(trichophagia). The most notorious of the medical sequelae of trichotillomania is the trichobezoar. We experienced a case of trichobezoar in an 11-year-old girl who frequently swallowed her hairs from age 4 years up to age 7 years, resulting in intermittent abdominal pain, nausea, and vomiting.

Numerical Analysis on Deformation of Soft Clays Reinforced with Rigid Materials (말합연약식반의 변형위석에 관한 수치해석)

  • Gang, Byeong-Seon;Park, Byeong-Gi;Jeong, Jin-Seop
    • Geotechnical Engineering
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    • v.1 no.2
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    • pp.27-40
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    • 1985
  • This study aims at the development of computer Program for the deformation analysis of soft clay layers, and using this computer program, study the constraint effect of deformation- heaving, lateral displacement-of the soft clay layers reinforced with sheet pile at the tip of banking or improvement of soft clay layer up to hard strata, under intact state (natural) and the state of vertical drain respectively. For this study, Biot's consolidation theories and modified Cam-clay theory for constitutive equation for FEMI were selected and coupled governing equation, and christian-Boehmer's technique was applied to solve the coupled relationship. The following results are obtained. 1. Sheet pile or improvement of soft clay layer to the hard strata work well against the settlement of neighboring ground. B. In view of restriction of heaving or lateral displacement, sheet pile is not supposed to be of use. 3. Sheet pile is of effect only when vertical drain is constructed for acceleration of consolidation and load increases gradually. B. The larger the rigidity of improvement of layer to hard strata is, the less settlement occurs.

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Characteristic features of Dolmens without Burial Chamber Identifiable through those found in Amchi-ri, Gochang-gun (고적 암치리 지석묘를 통해 본 무묘실 지석묘의 성격)

  • Kim Sun-gi
    • KOMUNHWA
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    • no.56
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    • pp.29-58
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    • 2000
  • A lot of dolmens without burial chamber have been brought to the light around Honam (southwestern provinces of Korea) area. Even though they are commonly classified as dolmens of surrounding stone type(圍石式), it seems necessary to put under the category of

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Gastric Phytobezoar Treated by Oral Intake and Endoscopic Injection of Coca-Cola (코카 콜라 경구 투여와 내시경적 주입법을 이용한 위석의 치료 1 예)

  • Moon, Hee-Jung;Lee, Sang-Hoon;Lee, Jun-Young;Kim, Dong-Hee;Lee, Ji-Eun;Yang, Chang-Hun;Eun, Jong-Ryul;Kim, Tae-Nyeun;Lee, Heon-Ju;Jang, Byung-Ik
    • Journal of Yeungnam Medical Science
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    • v.23 no.2
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    • pp.247-251
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    • 2006
  • Bezoars are collections or concretions of indigestible foreign material that accumulate and coalesce in the gastrointestinal tract; they usually occur in patients who have undergone gastric surgery and have delayed gastric emptying. Treatment options include dissolution with enzymes, endoscopic fragmentation with removal or aspiration, and surgery. Recently, the efficacy of nasogastric lavage or endoscopic infusion of Coca-Cola for the dissolution of phytobezoar have been reported. We report a case of phytobezoar successfully treated by oral administration and endoscopic injection of Coca-Cola. A 62-year-old woman was referred to Yeungnam University Hospital for epigastric pain. Upper gastrointestinal endoscopy revealed one very large, dark-greenish, solid bezoar in the stomach with gastric ulcer and duodenal bulb deformity. We performed endoscopic injection of Coca-Cola into the bezoar. The patient was instructed to drink four liters of Coca-Cola per day. At endoscopy two days later, the phytobezoar was easily broken into pieces. At endoscopy on the $11^{th}$ day of admission, the phytobezoar was decreased in size and removed by endoscopic fragmentation with a polypectomy snare. At follow up endoscopy after 13 days, the bezoar was completely dissolved.

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Effects of Onsinhwan on the ovulation in rats (온신환(溫腎丸)이 백서(白鼠)의 배란(排卵)에 미치는 영향(影響))

  • Wee, Suk;Min, Gyung-Hun;Cho, Han-Baek;Yoo, Sim-Keun;Kim, Duck-Nim
    • The Journal of Korean Obstetrics and Gynecology
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    • v.15 no.4
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    • pp.32-44
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    • 2002
  • Onsinhwan(OSH : 溫腎丸) is used in female infertility, especially due to lack of kidney yang or Sinyanghe(腎陽虛). An attempt was made to evaluate the influences of OSH on the serum concentrations of FSH and LH, Estrogen, Progesterone and the histological and optical changes of ovary, ovary weight of rats. The results of the study were as follows : 1. Blood FSH level increased in experimental group as compared with control group on 7th day and 14th day, which showed no efficacy. 2. Blood LH level decreased in experimental group as compared with control group on 14th day, which showed no efficacy. 3. Blood Estrogen level increased in experimental group as compared with control group on 7th day and 14th day, which showed no efficacy. 4. Blood Progesterone level decreased in experimental group as compared with control group on 7th day and 14th day, which showed no efficacy. 5. In histological observations of ovary, ovulation increased in experimental group as compared control group on 7th and on 14th day, which showed no efficacy. 6. In optically observations of ovary, size and weight of ovary increased in experimental group on 7th day and on 14th day, which showed no efficacy. According to these results, OSH did not influence on the ovulation of ovary in rats.

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Effects of Kamikwibitang on Serum Levels of Corticosterone and Histamine and Immune Response after Immobilization Stress in Mice (가미귀비탕(加味歸脾湯)이 생쥐에 Immobilization Stress 부하후(負荷後) 혈중(血中) Corticosterone과 Histamine 함량(含量) 및 면역능(免疫能) 변화(變化)에 미치는 영향(影響))

  • Wi, Seok;Lee, Seung-Jun;Yoo, Sim-Keun
    • The Journal of Korean Obstetrics and Gynecology
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    • v.18 no.1
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    • pp.94-110
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    • 2005
  • The purpose of this research was to investigate the effects of Kamikwibitang water extract (KKT) on immobilization stress in C57BL/6J mice. KKT decreased the serum level of histamine and corticosterone increased by immobilization stress. In addition, KKT decreased the cell viability of thymocytes and enhanced the cell viability of splenocytes decreased by immobilization stress. Also, KKT decreased the viability of thymocytes and splenocytes in vitro. KKT decreased DNA fragmentation of splenocytes increased by immobilization stress. KKT decreased the population of thymic $CD4^+CD8^-$ cells increased by immobilization stress, and did not affect the population of $B220^+$ cells and the population of $Thy1^+$ cells changed by immobilization stress and enhanced the population of splenic $CD4^-CD8^+$ cells increased by immobilization stress. KKT enhanced the production of ${\gamma}-interferon$ and did not affect the production of interleukin-2 and interleukin-4 decreased by immobilization stress. Also, KKT decreased the phagocytic activity and the level of nitric oxide decreased by immobilization stress. These results indicate that KKT may be useful for the prevention and treatment of stress via suppression of serum histamine and corticosterone level and enhancement of specific-immune response.

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