• Title/Summary/Keyword: 5-year-old

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ORAL FINDINGS AND TREATMENT OF A PATIENT WITH CYCLIC NEUTROPENIA (주기성 호중구 감소증 환자의 구강 내 소견과 치료에 대한 증례 보고)

  • Kang, Eun-Joo;Choi, Nam-Ki;Kim, Seon-Mi
    • Journal of the korean academy of Pediatric Dentistry
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    • v.40 no.2
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    • pp.133-140
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    • 2013
  • Cyclic neutropenia is a hematologic disorder characterized by a marked decrease in the number of circulating neutrophils occurring at regular intervals and after this period, the level of neutrophils usually recovers to a normal range. The clinical symptoms of cyclic neutropenia include fever, malaise, headaches and oral findings associated with painful soft tissue ulceration where lips, tongue and gingiva are typically involved. A 4 year 1 month old boy was presented to the hospital. His chief complaint was mobility of his teeth and swollen gums. The patient had suffered from cyclic neutropenia. Clinical examination revealed evident decay on all primary teeth except for the mandibular anterior teeth and localized alveolar bone loss around mandibullar right and left first primary molars which have mobility was notable. The patient was diagnosed with multiple dental caries, gingivitis and localized periodontitis associated with cyclic neutropenia and treated based on it. The dental treatment, including regular tooth care and appropriate treatment of dental caries or gingivitis, is essential for patients suffering cyclic neutropenia. Especially, proper care at an early stage is needed for young patients to minimize the unwanted consequences for permanent teeth development.

A Case of Esophageal Perforation and Mediastinitis complicated after Foreign Body Ingestion (식도천공 및 종격동염을 초래한 식도이물 1례)

  • 김무명;나기상;김광현;박찬일
    • Proceedings of the KOR-BRONCHOESO Conference
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    • 1981.05a
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    • pp.8.5-9
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    • 1981
  • Foreign body in the esophagus is not uncommon in the otolaryngological field and esophageal perforation followed by mediastinitis is one of the most serious complications. Authors had experienced such case developed in 69 year old female patient. This woman swallowed a piece of sharp glass accidentally. Severe pain and swelling around the neck developed after ingestion. Marked subcutaneous emphysema was noted on first examination. By esophagoscopy, longitudinal laceration at right lateral wall of the cervical esophagus was noted and a lot of food debries were removed through this perforation, but foreign body could not be found. On third hospital day, patient complained chest pain and dyspnea. Mediastinal widening was noted on chest P-A. Tracheostomy was performed on next day and neck swelling decreased much. In spite of massive antibiotics, mediastinal abscess was developed and external drainage was performed on 15th hospital day. She was discharged on 38th hospital day with marked improvement and recovered completely on follow-up study. Still, we do not know where the foreign body is located.

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Changes in Chemical Components of Red Ginseng Processed from the Fresh Ginseng Stored at Low Temperature (저온저장 후 제조한 홍삼의 성분변화)

  • 장진규;박채규;심기환
    • Food Science and Preservation
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    • v.10 no.2
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    • pp.158-161
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    • 2003
  • The six-year old fresh ginseng harvested at earlier October was stored for 10 weeks in the rendition of 4$^{\circ}C$${\pm}$1$^{\circ}C$ and RH 87∼92%, and the sugar content and the change of color was investigated in an interval of one week by taking sample of it after processed it to red ginseng. The total sugar content was 62.71% before it was stored and was a little reduced to 54.58% after 10 weeks of storage. The reducing sugar content was 11.69% before it was stored and was a little reduced to 9.92% after 7 weeks of storage. For the free sugars, the content of fructose was 0.47% before storage and gradually increased to 4.70% after 10 weeks of storage, and the contents of glucose and sucrose were gradually decreased after they have their peak value of 2.31% and 25.89% at five and three weeks of storage. The content of maltose was 6.62% before storage and it gradually reduced to 1.37% after 10 weeks of storage. The color intensity was generally increased with the storage time, and the total rotor value(ΔE) has its peak value of 8.89 after 9 weeks of storage. For the browning pigment, the absorbance of 420nm and 440nm was increased after 6 weeks of storage. The similar trend was observed at 285nm where the precursor of browning pigment was investigated, however, the change was not observed for the freeze dryed ginseng.

The Estimation of Annual Net Ecosystem Exchange of CO2 in an Apple Orchard Ecosystem of South Korea (국내 사과원 생태계에서 CO2의 연간 순생태 교환량 추정)

  • Shim, Kyo-Moon;Min, Sung-Hyun;Kim, Yong-Seok;Jung, Myung-Pyo;Choi, In-Tae;Kang, Kee-Kyung
    • Korean Journal of Agricultural and Forest Meteorology
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    • v.18 no.4
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    • pp.348-356
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    • 2016
  • Carbon dioxide ($CO_2$) gases concentration in atmosphere has been growing since preindustrial times. By sequestering a large amount of atmospheric carbon (C), terrestrial ecosystems are thought to offer a mitigation strategy for reducing global warming. Woody agro-ecosystems such as fruit tree are among the least quantified and most uncertain elements in the terrestrial carbon cycle. $CO_2$ and energy fluxes were measured by the eddy covariance method on a 15-year old apple orchard of South Korea in 2006. Environmental parameters (net radiation, precipitation, etc.) were measured along with fluxes. The results showed that during late June, the ability to sequestrate C was significant at an apple orchard ecosystem and it reached on the peak of $-6.5g\;C\;m^{-2}\;d^{-1}$. We found that in the apple orchard, the daily average of net ecosystem exchange of $CO_2$ (NEE) and cumulative NEE on a yearly basis were $-1.1g\;C\;m^{-2}$ and $-396.9g\;C\;m^{-2}$, respectively. These results reveal that there is high carbon sequestration in the apple orchard of South Korea, which is the same magnitude with repect to that of a natural forested ecosystem of the same biome rank (temperate-humid deciduous forest).

Prevalence Rate and Etiologic Risk Factors of Atopic Dermatitis in the Preschool Children in Changwon (창원시 학동 전기 소아들의 아토피 피부염 유병률과 그 원인에 관한 연구)

  • Lee, Jong-Keun;Lee, Ho-Sung;Ha, Jin-Sil;Park, Dong-Jin;Paik, Do-Hyun;Ha, Kwon-Chul
    • Journal of Environmental Health Sciences
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    • v.35 no.3
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    • pp.169-177
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    • 2009
  • In the past decade there has been increasing concern about the atopic dermatitis (AD) associated with environmental diseases. AD has been increased in the last decade and known as one of the multifactoral diseases, which has the genetic background and environmental factors at the same time. The purposes of this study were to investigate the prevalence rate and etiologic risk factors of atopic dermatitis in preschool children in Changwon, which is a one of the Korean cities and has a large industrial complex. We reviewed and analyzed the statistical data, obtained from Korea National Health Insurance Corporation, related to prevalence rate by age and administrative district. A cross-sectional questionnaire survey, based on ISAAC (International Study of Allergy and Asthma in Childhood), was conducted on random samples of preschool children (5 to 8 years old) of large sized kindergartens in Changwon. The lifetime and last one years prevalence of AD in preschool children in Changwon was increased from 1998 to 2008. The prevalence rate of AD in the preschool children in Changwon city was 9.6%. The prevalence rate in boys was 9.7% and that in girls was 9.4%. The one year prevalence of AD was ranked as middle among other provincial cities in Korea in 2008. This study showed that the prevalence rate of the atopic disease in Changwon was 9% in 2008, which was increased especially compare to 2000. More active governmental approaches for control and prevention of atopic dermatitis for children are recommended. Further studies are needed for more accurate estimation of the prevalence of AD in Korea including different regional and age population.

Primary Endobronchial Leiomyoma Combined with Uterine Leiomyoma (자궁근종을 동반한 원발성 기관지 평활근종)

  • Shim, Hyun Jeong;Lim, Jung-Hwan;Lee, Seok;Kim, Dae Hyun;Park, Kang Jin;Lee, Se Ryeon;Jeong, Jong-Pil;Son, Jun-Gwang;Kim, Soo-Ok;Oh, In-Jae;Kim, Kyu-Sik;Kim, Yu-Il;Lim, Sung-Chul;Kim, Young-Chul;Kim, Seok-Mo;Na, Kook-Joo
    • Tuberculosis and Respiratory Diseases
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    • v.61 no.5
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    • pp.490-495
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    • 2006
  • Leiomyoma of the bronchus is a very rare benign tumor of the lung. Most endobronchial leiomyomas occur as secondary foci of primary uterine leiomyoma. We herein report a case with endobronchial tumor that had a different pathology from a primary resected uterine leiomyoma and was therefor considered a primary endobronchial leiomyoma. A 51-year-old woman with a history of uterine myoma presented with productive cough and fever. Bronchoscopy revealed a lightly yellow colored mass lesion that totally obstructed the orifice of the left lower lobe of the lung. The diagnosis of leiomyoma was made by histological examination of the obtained specimen. We considered the possibility of a benign metastasizing pulmonary leiomyoma. For treatment and differential diagnosis, a left lower lobe lobectomy of the lung and total hysterectomy with bilateral salphingooopherectomy were performed. The differences between lung and uterine lesions were confirmed by morphologic finding and immunohistochemical staining. The pathological diagnosis was primary endobronchial leiomyoma combined with uterine myoma.

Tuberoplasty for Irreparable Massive Rotator Cuff Tears (봉합할 수 없는 광범위 회전근 개 파열에 대한 결절 성형술)

  • Yi, Jin-Woong;Cho, Nam-Su;Cho, Seung-Hyun;Cho, Hyung-Jun;Rhee, Yong-Girl
    • Clinics in Shoulder and Elbow
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    • v.12 no.1
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    • pp.7-13
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    • 2009
  • Purpose: To evaluate the clinical and radiological results of arthroscopic tuberoplasty for irreparable massive rotator cuff tears. Materials and Methods: Eleven patients underwent arthroscopic tuberoplasty for irreparable massive rotator cuff tears between December 2004 and April 2007. The mean follow-up period was 17.3 months, and the average age at the time of surgery was 61.7-year-old. Five cases underwent arthroscopic tuberoplasty and 6 cases had arthroscopic subacromial decompression and tuberoplasty, simultaneously. Results: The average Constant score improved from 61.8 to 86.9 and the average UCLA score changed from 14.8 to 31.8 with 6 excellent, 3 good and 2 poor results (p=0.003). The active forward flexion improved from $111.8^{\circ}$ to $154.1^{\circ}$(p=0.011). The acromiohumeral interval increased from 3.94 mm preoperatively to 4.22 mm postoperatively (p=0.12). In the poor UCLA score group, the acromiohumeral interval changed from 1.67 mm preoperatively to 0.94 mm postoperatively. Conclusion: Arthroscopic tuberoplasty may be a second option to relieve the pain of irreparable massive rotator cuff tears and improve the range of motion. However, good results could not be expected if the acromiohumeral interval is < 2 mm preoperatively and decreased postoperatively.

Ischial Pressure Sore Reconstruction Using Inferior Gluteal Artery Perforator Flap (아래볼기동맥 관통가지피판을 이용한 궁둥 욕창의 치료)

  • Kim, Young Seok;Kang, Jong Wha;Lee, Won Jai;Tark, Kwan Chul
    • Archives of Plastic Surgery
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    • v.34 no.2
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    • pp.209-216
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    • 2007
  • Purpose: The ischial area is by far the most common site of pressure sores found in wheel chair bound paraplegic patients, because greatest pressure is exerted from the body on this area in a sitting position. Even after a series of successful pressure sore treatments, the site is very prone to relapse by the simplest ordinary tasks of everyday life. Therefore, it is crucial to preserve the main pedicle during primary surgery. Various surgical procedures employed to treat pressure sores such as myocutaneous flap and perforator flap have been introduced. After introduction of ischial sore treatment using the inferior gluteal artery perforator (IGAP) has been made, the authors experienced favorable clinical results of patients who have undergone IGAP flap procedure in a three year time period. Methods: A total of 17 patients received IGAP flap surgery in our hospital from January 2003 to May 2006, among which 14 of them being males and 3 females. Surgery was performed on the same site again in 6(35%) patients who had originally relapsed after receiving the conventional method of pressure sore surgery. Patients' average age was 49.4(27-71) years old. Most of the patients were paraplegic(11 cases, 65%) and others were either quadriplegic(4 cases, 23%) or ambulatory(2 cases, 12%). Based on hospital records and clinical photographs, we have attempted to assess the feasibility and practicability of the IGAP flap procedure through comparative analysis of several parameters: size of defective area, treatment modalities, occurrence of relapses, complications, and postoperative treatments. Results: The average follow-up duration of 17 subjects was 25.4 months(5-42 months). All flaps survived without any necrosis. Six cases were relapsed cases from conventional surgical procedures. All of them healed well during our follow-up study. Postoperative complications such as wound dehiscence and fistula developed in some subjects, but all were well healed through secondary treatment. A total of 2 cases relapsed after surgery. Conclusion: The inferior gluteal artery perforator flap is an effective method that can be primarily applied in replacement to the conventional ischial pressure sore reconstructive surgery owing to its many advantages: ability to preserve peripheral muscle tissue, numerous possible flap designs, relatively good durability, and the low donor site morbidity rate.

First Successful Dynamic Cardiomyoplasty in Korea (심근 성형술 1례 보고)

  • ;;;;;;;;Igor Dubrovski, Ph.D.
    • Journal of Chest Surgery
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    • v.31 no.4
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    • pp.393-397
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    • 1998
  • A 25-year-old man with viral cardiomyopathy and chronic active hepatitis successfully underwent dynamic cardiomyoplasty for the first time in Korea on July 30, 1996. The patient had been intermittently dyspneic for 5 years and was admitted to our center twice because of heart failure. For the past 2 years, he was NYHA functional class III status with a left ventricular ejection fraction(LVEF) of around 30%. The patient was born with scoliosis and showed a short stature. The liver function showed elevated liver enzymes, and hepatitis B antigen was positive. The liver biopsy revealed chronic active hepatitis. The preoperative echocardiogram showed decreased left ventricular function with grade II mitral and grade II tricuspid regurgitation with dilated left and right atrium. Recently his symptoms worsened and we decided to perform a dynamic cardiomyoplasty. The left latissmus dorsi muscle(LDM) was mobilized and tested with lead placement on his right lateral decubitus position. The patient was positioned into supine and, after median sternotomy, the heart was wrapped with the mobilized muscle. The Russian made cardiomyostimulator(EKS-445) and leads (Myocardial PEMB for heart and PEMP-1 for LDM) were used. The total operation time was 8 hours and there were no perioperative episodes. Postoperatively the LDM had been trained for a 10 week period and currently the stimulation ratio is maintained at 1:4. The postoperative LVEF did not increase with the value of 30-35%. However, the patient feels better postoperatively with slightly increased activity.

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Change of Aboveground Carbon Storage in a Pinus rigida Stand in Gwangnung, Gyunggi-do, Korea (경기도(京畿道) 광릉(光陵) 리기다소나무임분(林分)의 지상부(地上部) 탄소저장량(炭素貯藏量) 변화(變化))

  • Kim, Choonsig;Jeong, Jin-Hyun
    • Journal of Korean Society of Forest Science
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    • v.90 no.6
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    • pp.774-780
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    • 2001
  • Aboveground carbon storage and increment of a 31-year-old pitch pine (Pinus rigida) stand were measured for five years (1997~2001) in the Jungbu Forest Experiment Station, Gyeonggi-do, Korea. The carbon concentration in each component of aboveground and soil depth decreased in the order of needle>branch>stembark>stemwood>forest floor>0-15cm soil depth>15-30cm soil depth. The carbon storage except for root carbon was 140,600kgC/ha and the tree accounted for 61%, soil 31% and forest floor 8% of the stand carbon storage. Due to high tree mortality by Fusarium subglutinans infection and spring drought in 2001, carbon increment except for 2001 data was 3,233kgC/ha/yr and was in the order of stemwood>branch>stembark>needle. Carbon storage and increment were attributed to stand density and site quality. Carbon storage and increment were higher in the high site quality than in the lower site quality plot on similar tree density. Also, the high tree density site on similar site quality showed more carbon storage and increment compared with the lower tree density. The results suggest that site quality and tree density are a key factor determining carbon storage and increment in this pitch pine stand.

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