• Title/Summary/Keyword: 특별진단

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MANAGEMENT OF THE IMPACTED TOOTH ASSOCIATED WITH DENTIGEROUS CYST IN AUTISTIC YOUNG PATIENTS (자폐증 환자에서 함치성 낭종과 연관된 매복치의 처치)

  • Kim, Ki-Rim;Song, Je-Seon;Choi, Byung-Jai;Kim, Seung-Hye;Lee, Jae-Ho
    • The Journal of Korea Assosiation for Disability and Oral Health
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    • v.7 no.1
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    • pp.25-28
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    • 2011
  • Autism is a developmental, neuropsychiatric disorder that begins in early childhood. A patient with autism seen in the dental office frequently may have many complications. Therefore, it may be needed to consider modified or alternative therapy for dental care of autistic patients. This is the case of a 16-year old boy who have autism. He came to the department of the pediatric dentistry, Yonsei University Dental Hospital, for evaluation and treatment of dentigerous cyst associated with impacted teeth(#33,34,35). Under daily hospitalization and general anesthesia, the cyst was enucleated with surgical extraction of #34 and autotransplantation of #33,35. And during the periodic dental followup, apexification of #33,35 was performed for periapical lesion and root maturity. At 2 year 6 months follow- up, now, bony healing was completed and there are some complications like external resorption of #33 and space loss of #34 area. Generally, the marsupialization has been widely recommended for treatment of dentigerous cyst. However, in this case, there is a little possibility of spontaneous eruption after marsupialization considering of patient's age, location and angulation of the impacted tooth, root maturity. And there is necessity to choose the treatment that has low recurrence risk and needs short-term follow-up for autism. Above all, poor oral hygiene and lack of cooperation for decompression treatment is a matter of primary consideration. Consequently, enucleation of the cyst was chosen for the final treatment plan in this case. It is important to consider the conditions that affect the eruption of a dentigerous cyst-associated tooth to predict the successful eruption and special health care needs of the patient when the treatment plan is settled.

RADIOGRAPHIC STUDY OF ERUPTION CHARACTERISTICS FOR UPPER PERMANENT 1ST MOLAR CLASSIFIED AS IRREVERSIBLE ECTOPIC ERUPTION (비가역성 이소맹출로 분류된 상악 제1대구치의 맹출 특성에 관한 방사선학적 연구)

  • Im, El;Lee, Sang-Ho;Lee, Nan-Young
    • Journal of the korean academy of Pediatric Dentistry
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    • v.36 no.4
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    • pp.556-562
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    • 2009
  • Ectopic eruption of the maxillary first permanent molar means that the molar erupts out of the normal position and is arrested in its eruption by the second primary molar. This local eruption disturbance results in a premature atypical resorption on the distal part of the second primary molar. In most irreversible cases, the second primary molar is lost prematurely, either by spontaneous exfoliation or by extraction, In cases of doubt as to whether the eruption is of the irreversible type or not, careful radiographic observation period for a few months would be valuable in evaluating the possibilities of the tooth's freeing itself. The purpose of this study was to determine the characteristics and occurrence of the ectopic eruption of the maxillary first permanent molar. A descriptive, observational, retrospective study was done using the radiographs of 25 conseutive patients, who were in the first phase of mixed dentition. A method was designed to evaluate the amount of pathologic resorption of the second maxillary primary molar and the mesial angulation of the first permanent molar. The study showed that the most important etiologic factor was the eruption path or mesial angulation of the first permanent molars relative the chosen reference lines.

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Diagnosis and Treatment of Feline Inflammatory Polyp with Video Otoscopy : A Case Report (고양이에서 비디오 이경검사법을 이용한 염증성 폴립의 진단 및 치료 1례)

  • Park, Se-Jin;Lee, Seung-Yong;Kim, Young-Ki;Seok, Seong-Hoon;Hwang, Jae-Min;Jeong, Dong-Hyuk;Lee, Hee-Chun;Yeon, Seong-Chan
    • Journal of Veterinary Clinics
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    • v.30 no.4
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    • pp.301-304
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    • 2013
  • Otic mass removal was performed in a 19-month-old, castrated domestic shorthair cat. The patient had 1- year history of recurrent otitis externa, and then otic mass in the right ear canal was found. Under general anesthesia, 2.7 mm rigid endoscope was inserted to the right ear canal with the irrigation system. The ovoid-shaped, 4.9 mm in diameter red otic mass located in the right ear canal was removed via traction-avulsion. Then, rupture of the tympanic membrane was revealed and otic flushing was performed with sterile isotonic (0.9%) saline to remove exudates. Histologically, the removed polyp was diagnosed as granulation tissue with severe ulceration. The patient didn't reveal any remarkable abnormality after surgery, and no recurrence were found after 5 months follow up. The video otoscopy seems to offer a useful option for treatment of a feline inflammatory polyp.

Body composition by bioelectrical impedance analysis in children below 7 years old (7세 미만의 소아에서 생체전기저항법에 의한 체성분 분석)

  • Jung, Jiyoung;Kim, Han Wool;Kim, Tae Hyun;Hong, Young Mi
    • Clinical and Experimental Pediatrics
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    • v.53 no.3
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    • pp.341-348
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    • 2010
  • Purpose : Body composition is important to define and manage obesity and undernutrition. Obesity is a significant health problem with medical and psychological consequences for children and adolescents. Body composition analysis (BIA) is a simple, rapid, noninvasive, and reproducible technique. However, comparative analysis of body composition has not been done in young children below 7 years old. The aim of this study is to estimate antropometric data and body composition by BIA, and to investigate the correlation between anthropometric data and fat mass or fat percent in young children. Methods : We measured height, weight, body mass index (BMI), fat mass, and fat percent by BIA in 1,376 children aged 3-6 years of whom 688 were males and 688 were females. Results : Fat mass, fat percent, intracellular fluid, extracellular fluid, protein, and minerals were significantly higher in the obese group. A significant positive correlation exists between fat mass and BMI or weight. A significant positive linear correlation was also noted between fat percent and BMI. Protein, weight, fat mass, and fat percent were significantly different among groups. Conclusion : BIA is an objective, accurate method to estimate body fat in childhood obesity cases. Fat mass and fat percent data acquired by using BIA highly correlated with BMI. However, a large-scale study is needed to diagnose obesity in young children.

A Study on the Strength Property of Recycled Fine Aggregate (Wet Type) Mortar with Blast Furnace Slag (고로슬래그를 사용한 습식 순환 잔골재 모르타르의 강도 특성에 관한 연구)

  • Shim, Jong-Woo
    • Journal of the Korea institute for structural maintenance and inspection
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    • v.14 no.5
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    • pp.153-160
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    • 2010
  • This study aims to obtain technical data for improvement of utilization of Blast Furnace Slag(BFS), recycled aggregate in the future by complementing fundamental problems of BFS such as manifestation of initial strength and excessive alkali quantity as well as weakness of recycled fine aggregate through manufacturing of recycled fine aggregate mortar using BFS. The recycled aggregate includes the cement paste hardened as the surface and the type of the aggregate, which contains plenty of calcium hydroxide($Ca(OH)_2$) as well as the unhydrated cement. Accordingly, the objectives of this study are to inspect the manufacturing the recycled fine aggregate mortar used with blast furnace slag, to consider the effects of the recycled aggregate on the strength development of ground granulated blast furnace slag, and then to acquire the technical data to take into consideration the further usages of the recycled aggregate and blast furnace slag. In eluted ions from recycled aggregate, it showed that there were natrium($Na^+$) and kalium($K^+$), expected to be flown out of unhydrated cement, as well as calcium hydroxide($Ca(OH)_2$). Application of this water to mix cement mortar with ground granulated blast furnace slag was observed to expedite hydration as calcium hydroxide($Ca(OH)_2$) and unhydrated cement component were expressed to give stimuli effects on ground granulated blast furnace slag. The results of the experiment show that the recycled aggregate mixed with blast furnace slag has comparatively higher hydration activity in 7 day than the mortar not mixed with one in 3 day mortar does, causing the calcium hydroxide in the recycled fine aggregate to work on as a stimulus to the hydration of ground granulated blast furnace slag.

Complete Transsection of the Trachea by Blunt Trauma (둔상에 의한 기관 완전 절단 - 1예 보고 -)

  • Kim, Dae-Hwan;Yoo, Byung-Ha;Kim, Han-Yong;Hwang, Sang-Won
    • Journal of Chest Surgery
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    • v.40 no.1 s.270
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    • pp.79-82
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    • 2007
  • Tracheobronchial rupture due to blunt chest trauma is an uncommon injury although the incidence is increasing. Early diagnosis and primary repair of tracheobronchial rupture not only restore a normal lung function but also avoid the difficulties and complications associated with delayed diagnosis and repair We present one case of the tracheal transsection caused by traffic accident. Patient suffered from progressive dyspnea, subcutaneous emphysema on the neck and anterior chest wall and tension pneumothorax at both sides were noted. Although both closed thoracostomy were done, massive air leakage through the chest tube continued and subcutaneous emphysema spread to the anterior abdominal wall and scrotum and the degree of dyspnea aggravated. With the impression of tracheobronchial injury, we performed the emergency operation. Preoperative bronchoscopy at the operation room was proceeded, which revealed the trachea was near totally transsected in transverse direction. Operation was performed through collar incisiion on the anterior neck, and the trachea was anastomosed with 4-0 $Vicryl^{(R)}$ interruptedly. Postoperative course were uneventful and patient discharged without any complications.

Sporothrix schenckii Infection in a Dog with Concurrent Hyperadrenocorticism and Diabetes Mellitus (부신겉질기능항진증과 당뇨 병발 개에서 Sporothrix schenckii 감염 증례)

  • Song, Jaeyong;Lee, Bareun;Kim, Hyun-Min;Kang, Jooyeon;Cho, Hyunkee;Choi, Ul-Soo;Hwang, Cheol-Yong;Choi, Jung Hoon;Chung, Jin-Young
    • Journal of Veterinary Clinics
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    • v.32 no.6
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    • pp.511-513
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    • 2015
  • A 12-year-old spayed Pomeranian was presented with a purulent, erythematous mass. The dog also suffered from concurrent hyperadrenocorticism and diabetes mellitus. Sporothrix schenckii was isolated through the fungal culture of the mass. Surgical ablation of the mass was performed for the removal of continuous inflammation and fungal infection of deep origin. After histological examination of the mass, severe multifocal pyogranulomatous dermatitis and panniculitis were diagnosed. This is the first confirmed case of pyogranulomatous dermatitis and panniculitis due to Sporothrix schenckii infection in a dog with concurrent hyperadrenocorticism and diabetes mellitus. In addition this is the first case report of sporotrichosis in South Korea.

A Study on the Possibility of Using Cement Raw Material through Chemical Composition Analysis of Pond Ash (화력 발전소 매립 석탄회의 화학성분 분석을 통한 시멘트 원료 활용 가능성 연구)

  • Lee, Jae-Seung;Noh, Sang-Kyun;Suh, Jung-Il;Shin, Hong-Chul
    • Journal of the Korea institute for structural maintenance and inspection
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    • v.24 no.6
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    • pp.180-188
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    • 2020
  • To replace Japanese coal ash used in the domestic cement production and to recycle large quantities of domestic pond ash, it is essential to develop the technologies for quality control of cement by using the domestic pond ash. Thus, in this study, the feasibility of using the pond ash as a raw material for cement was investigated through chemical composition and microstructure analysis. As a result, most of the domestic pond ash contained slightly more Fe2O3, chloride, and unburned carbon contents than Japanese coal ash. In particular, the contents of chloride were considerably low in the pond ash that was transferred to fresh water or collected from surface of landfill area. However, since circulating fluidized bed boiler coal ash had relatively high SO3 contents causing durability problems of cement, it was not suitable for use as a raw material for cement. Thus, to replace Japanese coal ash with the domestic pond ash, it is necessary to introduce the adjustment of mixture proportion of cement raw materials and the process of removing chloride in the pond ash.

Factors Affecting Length of Stay and Death in Tuberculosis Patients(2008-2017): Focus on the Korean National Hospital Discharge In-depth Injury Survey (결핵 환자의 재원기간과 사망에 영향을 미치는 요인(2008-2017): 퇴원손상자료를 중심으로)

  • Lee, Hyun-Sook;Kim, Sang-Mi
    • The Journal of the Korea Contents Association
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    • v.21 no.4
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    • pp.487-497
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    • 2021
  • The purpose of this study is to identify factors affecting length of stay(LOS) and death in tuberculosis(TB) patients by disease type, patient characteristic, admission and disease characteristic, and hospital characteristic from 2008 to 2017. Survey data was using Korean national hospital discharge in-depth survey data produced by Korea Disease Control and Prevention Agency. Study subjects were 10,634 inpatients with TB(A15, A16, A17, A18, A19, U88.0, U88.1, U84.30, U84.31) and analyzed frequency, chi-square test, Fisher's exact test, and logistic regression by using STATA 13.0. As a study result, the type of TB(extrapulmonary TB, multidrug-resistant TB, extensively drug-resistant TB), sex(woman), age(35-49, 50-64, 65-74, 75 years old or older), admission type(outpatient department), CCI(1-2 point, 3 point over), hospital location(metropolitan city) and bed size(300-499, 500-999, over 1000) were significantly influence LOS. Also, the type of TB(extrapulmonary TB, extensively drug-resistant TB), sex(woman), age(50-64, 65-74, 75 years old or older), residence(small town/rural), admission type(outpatient department), CCI(1-2 point, 3 point over), hospital location(provincial) were significantly influence death. In conclusion, the existing tuberculosis management has been patient management with rapid diagnosis and treatment following early detection. But other studies should be carried out for the system that identifies and supports high-risk groups of the long-term length of stay in hospital or high mortality rates as a result of treatment.

Fabrication of 3D Paper-based Analytical Device Using Double-Sided Imprinting Method for Metal Ion Detection (양면 인쇄법을 이용한 중금속 검출용 3D 종이 기반 분석장치 제작)

  • Jinsol, Choi;Heon-Ho, Jeong
    • Clean Technology
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    • v.28 no.4
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    • pp.323-330
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    • 2022
  • Microfluidic paper-based analytical devices (μPADs) have recently been in the spotlight for their applicability in point-of-care diagnostics and environmental material detection. This study presents a double-sided printing method for fabricating 3D-μPADs, providing simple and cost effective metal ion detection. The design of the 3D-μPAD was made into an acryl stamp by laser cutting and then coating it with a thin layer of PDMS using the spin-coating method. This fabricated stamp was used to form the 3D structure of the hydrophobic barrier through a double-sided contact printing method. The fabrication of the 3D hydrophobic barrier within a single sheet was optimized by controlling the spin-coating rate, reagent ratio and contacting time. The optimal conditions were found by analyzing the area change of the PDMS hydrophobic barrier and hydrophilic channel using ink with chromatography paper. Using the fabricated 3D-μPAD under optimized conditions, Ni2+, Cu2+, Hg2+, and pH were detected at different concentrations and displayed with color intensity in grayscale for quantitative analysis using ImageJ. This study demonstrated that a 3D-μPAD biosensor can be applied to detect metal ions without special analysis equipment. This 3D-μPAD provides a highly portable and rapid on-site monitoring platform for detecting multiple heavy metal ions with extremely high repeatability, which is useful for resource-limited areas and developing countries.