• Title/Summary/Keyword: 임상 경과

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The Results of Treatment of Lateral Meniscus Tear in Tibial Plateau Fracture (경골과 골절과 동반된 외측 반월상 연골 파열의 치료 결과)

  • Kim, Jung-Man;Kwon, Yong-Jin;Choi, Kwang-Chun;Choi, Seong-Pil;Yoo, Ju-Seok
    • Journal of Korean Orthopaedic Sports Medicine
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    • v.5 no.2
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    • pp.155-160
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    • 2006
  • Purpose: To evaluate the results of meniscal repair and partial meniscectomy of lateral meniscus injury associated with tibial plateau fracture. Materials and Methods: Between February 1993 and August 2004, 24 cases (23 patients) of lateral meniscus tear with tibial plateau fracture were evaluated retrospectively. The most frequent type of tear was the longitudinal tear of the meniscocapsular junction (14 cases, 66.7%). All fractures were reduced under the control of arthroscopic and image intensifier. Arthroscopic repair of the longitudinal tear of the lateral meniscus or arthroscopic partial meniscectomy was performed. The final results were evaluated with the Ikeuchi criteria and Lysholm score. Results: At the final follow-up, the outcome was excellent in 12 cases (85.7%), good in 1 case (7.1%) and fair in 1 case (7.1%) among 14 cases of meniscal repair, and the excellent in 4 cases (66.7%) and good in 2 cases (33.3%) among 6 cases of partial meniscectomy according to the Ikeuchi criteria, There was a significant improvement of Lysholm score after surgery, 92.3 postoperatively compared with 56.6 preoperatively (p<0.0001, paired t-test). Conclusion: The fracture of the lateral tibial plateau did not seem to affect on the healing of the meniscus repair and partial meniscectomy.

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Arthroscopic Reconstruction of Bony Defect in Shoulder Instability (골 결손을 동반한 견관절 불안정성의 관절경적 재건술)

  • Kim, Yang-Soo;Ok, Ji-Hoon
    • Clinics in Shoulder and Elbow
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    • v.14 no.1
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    • pp.117-124
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    • 2011
  • Purpose: We reviewed arthroscopic reconstruction among the several treatment options for anterior shoulder instability with a bony Bankart lesion. Materials and Methods: Although open Bankart repair has long been considered the optimal surgical management of anterior shoulder instability, advancements in arthroscopic techniques have led to a recent shift to arthroscopic Bankart repair. However, for cases of a glenoid bony defect, several authors have reported various methods to accurately measure the amount of bony defect. Results: The arthroscopic technique of bony Bankart reconstruction continues to evolve and various methods have followed. To overcome the limitations of single fixation of a Bankart lesion, arthroscopic dual fixation (2 point fixation) has recently been tried to anatomically repair and restore the rigid fixation of a bony fragment. The concept of performing the Bristow-Latarjet transfer procedure under arthroscopy has also recently emerged. However, a large series of cases and long term follow up are required to prove the better results. Conclusion: To obtain a successful outcome for patients with anterior instability with a glenoid bony defect, it is imperative that the surgeon be aware of the accurate status of the bony defect and the intraoperative, postoperative factors associated with the proper treatment of this unstable pathology.

A Study on the Characteristics Linked to Obesity with Acute Stroke Patients (급성기 뇌중풍환자의 비만 및 복부비만과의 임상적 제특징 분석)

  • Hsia, Yu-Chun;Jung, Ki-Yong;Go, Ho-Yeon;Jung, Hee;Baik, Jong-Woo;Yeo, Hyun-Soo;Ko, Mi-Mi;Choi, You-Kyung;Kim, Dong-Woo;Han, Chang-Ho;Cho, Ki-Ho;Bang, Ok-Sun;Park, Jong-Hyung;Ko, Seung-Gyu;Jun, Chan-Yong
    • The Journal of Internal Korean Medicine
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    • v.29 no.1
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    • pp.149-159
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    • 2008
  • Background and Purpose : This study was to assess characteristics in acute stroke patients according to obesity and abdominal obesity. Methods : From1 Oct. 2005 to 31 Jul. 2007, 629 patients with a stroke were included. Patients were hospitalized within 30 days after the onset of stroke at Kyungwon University Incheon Oriental Hospital, DongGuk University International Hospital and Department of Cardiovascular and Neurologic Disease (Stroke Center), or Kyung Hee University Oriental Hospital. We investigated general characteristics preferences according to general obesity and abdominal obesity. Results : 629 acute stroke patients were included in the final analysis. Male, young age, hypertension, heart disease in the family history, hypertension in the past history, care of invalids or grandchildren and Taeumin in the Sasang constitution were higher among obese patients. Male, transient ischemic attack in the past history, smoker and Soyangin in the Sasangconstitution were higher among patients with abdominal obesity. The incidence of abdominal obesity corresponded to lower education level. Conclusions : In our study, we observed the general disposition of various characteristic distributions according to obesity and abdominal obesity in acute stroke patients.

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A Case Report of Recurrent Bacterial Meningitis with a Skull Base Abnormality (두개저 이상을 동반한 재발성 세균성 뇌수막염 증례보고)

  • Oh, Jung-Min;Lee, Ji-Yeon;Lim, Hee-Jeong;Cho, Hyun-Hae;Kim, Kyung-Hyo
    • Pediatric Infection and Vaccine
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    • v.27 no.1
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    • pp.69-76
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    • 2020
  • Recurrent bacterial meningitis is the reappearance of two or more episodes of meningitis caused by a different or same organism after an intervening period of full convalescence. Predisposing factors for recurrent bacterial meningitis include immunodeficiency and developmental and traumatic anatomical defects. Therefore, careful evaluation of children with recurrent meningitis is essential. We report the case of a patient with a skull base abnormality who had suffered from four events of bacterial meningitis between 8 and 17 years of age. He experienced another event of bacterial meningitis at the age of 21, without undergoing correction for the anatomical defect. Streptococcus agalactiae was identified in the patient's blood and cerebrospinal fluid culture. Afterwards, he underwent surgical treatment for a meningioma; this meningioma was strongly suspected as the cause of the recurrence.

A Single Center Study of the Necessity for Routine Lumbar Puncture in Young Infants with Urinary Tract Infection (어린 영아의 요로 감염에서 관습적인 요추 천자의 필요성에 대한 단일 기관 연구)

  • Lee, Chang Ho;Lee, Kye Hyang
    • Pediatric Infection and Vaccine
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    • v.24 no.1
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    • pp.54-59
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    • 2017
  • Purpose: Urinary tract infection (UTI) is the most common serious bacterial infection in infants younger than 3 months of age. Lumbar puncture is routinely performed to evaluate febrile young infants for sepsis. However, there is no clear consensus on the use of routine lumbar puncture to diagnose concomitant meningitis in infants with UTI. We evaluated the prevalence of coexisting bacterial meningitis and sterile cerebrospinal fluid (CSF) pleocytosis in young infants with UTI. Methods: We retrospectively reviewed the medical records of 85 infants with UTI, aged from 29 to 99 days, who were admitted to Daegu Catholic University Medical Center from January 2013 to May 2016. We included 80 patients who had undergone lumbar puncture. Demographic features, clinical features, and laboratory findings were analyzed. Patients were divided into two groups based on the presence of sterile CSF pleocytosis and we compared these groups and assessed the differences between them. Results: Of the 80 UTI patients enrolled, 34 (43%) had sterile CSF pleocytosis. None had bacterial meningitis, and CSF polymerase chain reaction for enterovirus was positive in two patients without CSF pleocytosis. There were no significant differences between the two groups with regards to age, body temperature, peripheral white blood cell count, urinalysis, and duration of hospital stay. Conclusions: Though sterile CSF pleocytosis is common in young UTI patients, coexisting bacterial or viral meningitis is very rare. Indications for lumbar puncture in these patients depend on clinical condition.

The Significance of Interleukin-6 in $Henoch-Sch\"{o}nlein$ Purpura Nephritis in Children ($Henoch-Sch\"{o}nlein$ Purpura 신염에서 Interleukin-6의 의의)

  • Lee Jae-Seung;Kwon Min-Joong
    • Childhood Kidney Diseases
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    • v.1 no.2
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    • pp.130-135
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    • 1997
  • Purpose : Interleukin-6(IL-6), a multifunctional cytokine, has been found to have growth and differentiation activities on a wide variety of tissues and cells, including mesangial cells. It has been known that IL-6 is an autocrine growth factor for the proliferation of mesangial cells. Several studies have been performed for revealing the clinical significance of IL-6 in mesangial proliferative glomerulonephritis. Methods : The author measured serum and urinary IL-6 in 30 patients with $Henoch-Sch\"{o}nlein$ purpura (HSP), 18 patients with HSP nephritis, and 10 normal children as a control group. Results : The serum level of IL-6 was increased significantly in the patients with HSP and HSP nephritis compared to normal control. The level of urinary IL-6 was increased significantly in the patients with HSP nephritis compared to both HSP and normal control groups. The level of urinary IL-6 was not correlated with the level of serum. Conclusion : IL-6 was correlated with the amount of proteinuria. These data suggest that IL-6 may be involved in the pathological proliferation of mesangial cell in HSP nephritis.

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Beneficial Effect of Curcumin on Epidermal Permeability Barrier Function in Hairless Rat (무모쥐에서 자외선에 의한 피부 장벽 손상에 미치는 커큐민의 보호 효과)

  • Jeon, Hee-Young;Kim, Jeong-Kee;Kim, Wan-Gi;Lee, Sang-Jun
    • Korean Journal of Food Science and Technology
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    • v.40 no.6
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    • pp.686-690
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    • 2008
  • Recent research has shown that curcumin has beneficial effects in a variety of skin diseases, including scleroderma, psoriasis, and skin cancer. In this study, we assessed the effects of curcumin on epidermal permeability barrier function in vivo and in vitro. In order to evaluate the effects of curcumin on epidermal permeability barrier function in vivo, hairless rats were exposed to UVB irradiation, and curcumin was administered orally at a dosage of 150 mg/kg per day for 8 weeks. Transepidermal water loss (TEWL) and epidermal thickness were measured at the end of the experiment. The expression of filaggrin, a marker of keratinocyte differentiation, and serine palmitoyltransferase (SPT), a marker of the formation of the stratum corneum lipid barrier, in human HaCat keratinocytes were analyzed. The in vivo results showed that an 8 week administration of curcumin markedly prevented the UVB-induced increase in TEWL. The UV-induced increase in epidermal thickness was also reduced significantly by curcumin treatment. The in vitro results demonstrated the concentration-dependent effects of curcumin on the expression of both filaggrin and SPT in HaCat cells, reflecting the notion that curcumin can induce epidermal keratinocyte differentiation and can improve the recovery of skin barrier functions. These results show that curcumin is a promising candidate for the improvement of epidermal permeability barrier function.

Effects of Application Time of GA Paste on Tree and Fruit Growth and Fruit Quality of 'Kamcheonbae' and 'Whangkeumbae' Pears (GA 도포제의 처리시기가 '감천배'와 '황금배'의 생육과 과실 품질에 미치는 영향)

  • Youn, Cheol-Ku;Kim, Seon-Kyu;Lim, Sang-Cheol;Kim, Hag-Hyun;Kim, Young-Ho;Lee, Cheol-Hee;Choi, Kwan-Soon
    • Horticultural Science & Technology
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    • v.18 no.3
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    • pp.383-386
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    • 2000
  • To clarify the effects of application time of $GA_{4+7}$ paste (GA paste) on tree and fruit growth, fruit quality, and maturity of 'Kamcheonbae' and 'Whangkuembae' pears, GA paste of 25 mg each was applied directly to fruit stalk 25, 35, and 45 days after full bloom (DAFB). Later application of GA paste tended to increase the fruit weight of 'Kamcheonbae' pear. GA paste applied 45 DAFB increased the titratable acidity of the two cultivars. Fruit firmness of 'Kamcheonbae' was not affected by the GA paste treatment, while that of 'Whangkuembae' was increased by more than 20%. Fruit maturity of the two cultivars was hastened for 4 days by the GA paste treatment at any application time. Sharp increase in the fruit weight of the GA paste-treated 'Kamcheonbae' was noted from early July while that of control exhibited slow increase from early September. The initial growth pattern of 'Whangkeumbae' was similar to that of 'Kamcheonbae', but the growth slowed down from early September, regardless of the treatments.

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Histopathological studies on the macrophage behavior in lymphomyeloid tissues of tilapia, Oreochromis niloticus (나일틸라피아의 임파조혈조직내 대식세포(大食細胞) 분포변화(分布變化)에 관한 병리조직학적(病理組織學的) 연구(硏究))

  • Lee, Nam-Sil;Kim, Jee-Young;Jeong, Hyun-Do;Huh, Min-Do
    • Journal of fish pathology
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    • v.8 no.2
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    • pp.135-148
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    • 1995
  • To elucidate the distributional pattern of macrophages within lymphomyeloid tissues according to the disease process, tilapias, teleostean fish, were intraperitoneally injected with live Edwardsiellatarda and its extracellular product(ECP) respectively. And then histopathological examination for the spleen and gead kidney were carried out for the individuals which had not any clinical signs. In the group injected with live E. tarda, macrophages were densely organized into MMC-like structures with showing some degree of recovery in histological arrangement. At the 2nd week, overall structures of the lymphomyeloid tissues became normal, accompanying the disappearance of most of macrophage groups. Also in case of ECP injection, quite similar findings were observed. Moreover, macrophage collections and hypertrophied ellipsoids were recognized at 1hour after the injection of ECP in head kidney and spleen, respectively. These results suggested that characteristic behaviors of macrophages in lymphomyeloid tissues would be used as important morphological criteria for early diagnosis of edwarsiellosis or possibly of other infectious diseases.

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Neonatal Rat Necrotizing Enterocolitis Model Adopting Oral Endotoxin and Hypoxia Exhibits Increased Apoptosis through Caspase-3 Activation (경구 내독소와 저산소로 유발된 신생쥐의 괴사성 장염모델에서 caspase-3 활성화를 통한 세포자멸사의 증가)

  • Lee, Yun-Kyoung;Kim, Ee-Kyung;Kim, Ji-Eun;Kim, Yoon-Joo;Son, Se-Hyung;Kim, Han-Suk;Kim, Beyong-Il;Choi, Jung-Hwan
    • Neonatal Medicine
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    • v.17 no.1
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    • pp.44-52
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    • 2010
  • Purpose : The aim of this study was to develop a model for necrotizing enterocolitis (NEC) in the neonatal rat using endotoxin and hypoxia, a plausible insult in a neonatal intensive care and to investigate the role of apoptosis as the underlying mechanism. Methods : Newborn rats were given oral endotoxin and intermittent 8% hypoxia$\pm$caspase inhibitor. The intestinal histology was evaluated using hematoxylin-eosin staining. Apoptosis was analyzed with TUNEL staining and by measuring the caspase 3 activity in the intestinal lysates. IEC-6 cells were assessed for apoptosis and the expression of Bax, Bcl-2, Fas and FasL was measured after treatment with endotoxin and hypoxia. Results : Oral endotoxin (5 mg/kg) and exposure to 8% hypoxia of 60-min duration twice induced human NEC-like lesions in the rat intestine. Intestinal tissue revealed increased apoptosis and caspase-3 activity. After caspase inhibitor treatment, the grades of both apoptosis and NEC were significantly reduced. IEC-6 cells exhibited increased apoptosis and caspase 3 activity after endotoxin and hypoxia treatment and significantly increased Bax/Bcl- 2 ratio compared to control cells. Conclusion : This neonatal rat model of NEC which was induced by oral endotoxin and intermittent hypoxia showed increased apoptosis of intestinal epithelial cells that was mediated by caspase 3 activation. Our model has a advantage in the study of NEC because the use of much more clinically plausible insults may provide a suitable model for the investigation of its pathophysiology and therapeutic trials.