• 제목/요약/키워드: A case report

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보중익기탕가미방으로 치료한 만성 비세균성전립선염환자의 자각증상 및 백혈구수치변화에 대한 치험 1례 (A Case Report for subject symptom and WBC numerical index change of non-bacterial chronic prostatis disease by Bojungiki-Tang)

  • 조철준;구창모;김진원;이승진;선중기;박양춘;배한호;이정은;한영주;임도희
    • 대한한방내과학회지
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    • 제25권1호
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    • pp.149-157
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    • 2004
  • The chronic non-bacterial prostatis disease is relatively incurable, chronic and recurrent. Due to its prostatis barrier, chronic non-bacterial prostatis disease is difficult to be penetrated with Medicine. Nevertheless, we obtained the desired results using the method of iki action by Bojungiki-tang. The purpose of this study is to evaluate the effect of treatment and change of WBC numerical index using Bojungiki-tang. We investigated one chronic non-bacterial prostatis disease for about one year with NIH chronic prostatis symptom index, expressed prostatic secretion(EPS). After the treatment, symptom index score was decreased from 27 to 1. Also WBC numerical index by EPS test was decreased to zero. These results indicate that oriental medical therapy is effective in treating chronic non-bacterial prostatis disease. Therefore further study of the effect of herb-medicine is necessary.

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회전근 개 간격의 가교 반흔 유착에 의한 외상성 견관절 강직증의 관절경적 치료 - 증례 보고 - (Arthroscopic Treatment of Post-traumatic Stiff Shoulder by Rotator Interval Bridging Scar Adhesion - Case Report -)

  • 김영모;이광진;김경천;변병남
    • Clinics in Shoulder and Elbow
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    • 제7권1호
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    • pp.41-45
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    • 2004
  • In adhesive capsulitis of the shoulder of no response to nonoperative treatment, an arthroscopic capsular release and manipulation improves range of motion and pain relief. We performed an arthroscopic examination in the stiff shoulder, of which she had no response to nonoperative treatment, after the conservative treatment of a clavicular shaft fracture by motorcycle-driver traffic accident. We found the intra-articular 'rotator interval bridging scar adhesion' between subscapularis tendon and antero-superior glenoid fossa under the rotator interval which was no adhesion and contracture itself. We performed the scar adhesion removal and synovectomy, maintaining the rotator interval. We recommended nonsteroidal anti-inflammatory drug for postoperative pain relief and continuous active and passive range of motion (ROM) exercise to gain motions. Preoperatively, active and passive range of motion were 70° for forward elevation, 60° for abduction and especially 0° for external rotation. After postoperative 2 months, active ROM were 150° for forward elevation, 130° for abduction and 80° for external rotation. After postoperative 6 months, passive and active ROM were full. UCLA score improved from preoperative 9 points to postoperative 29 points.

심한 협-설골 위축에서 치조골 수평 확장술을 이용한 골 재건 (RECONSTRUCTION OF SEVERE BUCCO-LINGUAL BONE RESORPTION AREA USING "RIDGE SPLITTING TECHNIQUE")

  • 여덕성;임소연;이현진;안미라;손동석
    • Maxillofacial Plastic and Reconstructive Surgery
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    • 제28권6호
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    • pp.590-594
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    • 2006
  • Dental implant has become one of the important option for completely or partially edentulous patients, But it is challenging to reconstruct the severely atrophic ridge. Insufficient bone volume could restrict to place the wide and long implant and because of excessive interocclusal clearance, improper prosthetics could be produced. In this case bone augmentation for implant dentistry is necessary procedure to improve the insufficient bone volume. Therefore, bone augmentation or GBR is the most important procedure for successful implant placement and for ideal crown- root ratio. There are various bone augmentation techniques have been introduced recently; like block bone graft, distraction osteogenesis, inlay graft, onlay graft, etc.... In severe bucco-lingual resorption area, ridge splitting is the first choice of the treatment, because it provides a place for implantation and also has compaction effect. This technique may be indicated for sharp mandible and maxillary ridges in patients whose bone quantity is inadequate for primary stabilization. We report that the clinical experience of bone augmentation using ridge splitting technique in bucco-lingual bone resorption area.

하악골상행지 시상분할골절단술, 소파술 및 적출술을 이용한 법랑아세포종 치료에 대한 치험례 (AMELOBLASTOMA REMOVED BY CURETTAGE AND ENUCLEATION AFTER SSRO: CASE REPORT)

  • 길용갑;김진철;홍용재;오해수;최빈;김경수
    • Maxillofacial Plastic and Reconstructive Surgery
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    • 제29권2호
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    • pp.187-191
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    • 2007
  • An ameloblastoma is one of the most common odontogenic tumors. Ameloblastoma is cytologically a benign tumor, but is clinically characterized by infiltrative growth and high recurrency. The treatment of ameloblastoma has been controversial. The aim of this paper is to consider effectiveness of curettage and enucleation after SSRO in the small-sized multilocular intraosseous ameloblastomas that have been treated more frequently by radical treatment. They were radiographically characterized by the cortical bone that was expanded or eroded locally and histopathologically by solid multilocular ameloblastomas. It is considered that curettage and enucleation after SSRO and long-term follow-up enable the small-sized multilocular intraosseous ameloblastomas that were characterized by almost destroyed cancellous bone and expanded cortical bone to treat minimizing facial disfigurement and masticatory dysfunction and sociopsychological impact produced by radical treatment. We recommend that the small-sized multilocular intraosseous ameloblastomas without involvement to the surrounding soft tissues be first treated by curettage and enucleation after SSRO.

대학생 직업소양능력 진단 및 지원 프로그램 적용: D 전문대학 사례를 중심으로 (Diagnosis of General Job Skills for College Students and Application of Supporting Program: based on an Example Analysis of D College)

  • 오만덕;이승희
    • 한국콘텐츠학회논문지
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    • 제11권4호
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    • pp.497-506
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    • 2011
  • 직업소양능력은 산업분야에 진출하는 산업인력들이 자신의 직무를 성공적으로 수행하기 위해 갖추어야 할 기본 능력이다. 본 연구는 대학생 직업소양능력 습득의 필요성을 인식하고 예비산업인력인 전문대학 학생의 직업소양능력 수준을 규명해 보고자 하였다. 이를 위해 D 전문대학을 대표사례로 선정하고 직업소양능력 진단도구인 CCQB(Core Competency Questions using BARS)를 토대로 재학생, 교원, 현장전문가 및 졸업생을 대상으로 설문조사 및 FGI(Focus Group Interview)를 실시하였다. 연구결과, 직업소양능력 수준에 대해 학생과 교원의 인식에 차이가 있는 것으로 나타났으며, 능력향상을 위한 지원이 필요한 것으로 나타났다. 직업소양능력에 대한 산업현장의 높은 기대와 요구에 부응하기 위해서는 학생 개인의 노력을 넘어 대학에서 보다 체계적이고 전문적인 교육프로그램과 지원시스템이 마련되어야 한다.

아버지로부터 유래된 9번 염색체 장완의 부분 세염색체 1례 (Case of Partial Trisomy 9q Derived from Paternal Chromosome)

  • 정지은;송은정;박혜진;이계향;이경훈;최은진;김진경;정혜리;서억수;김우택
    • Neonatal Medicine
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    • 제16권1호
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    • pp.71-75
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    • 2009
  • 9번 염색체 장완의 중복은 거의 드문 형태의 염색체 이상이며, 특징적인 얼굴형태와 손가락 형태, 정신지체 등이 나타나는 것으로 알려져 있다. 얼굴 형태는 정상이었으나 선천성 심장기형과 수신증, 음낭 탈장이 동반된 미숙아에게서 46,X,Y,dup(9)(q21.2q22.1)를 확인하였고, 표현형이 정상인 환아의 아버지에게서 유래된 것으로 생각되어진 예를 경험하였기에 보고하는 바이다.

기관지협착환자에서 기관지내 팽창성 급속 스텐트 삽입후 재발한 기관지협착 치험 2례 (Surgical Treatment of Bronchial Restenosis Occuring After Insertion of Self-Expandable Metalic Stent in Patients with Bronchial Stenosis -2 Cases Reports-)

  • 김우찬;진웅;나석주;조건현;이선희;곽문섭;김세화
    • Journal of Chest Surgery
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    • 제28권5호
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    • pp.499-503
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    • 1995
  • Since the insertion of self expandable metalic stent[SEMS has became popular method for hollow organ stenosis, many attempts for further apply the stent to airway stenosis as an simple procedure has been made, but intrabronchial migration of stent or occurrence of inflammatory granuloma around stent develop occasionally and sometimes it worsen bronchial stenosis further more. This report describes 2 case of surgically treated bronchial restenosis in whom intrabronchial stent were applied for release of bronchial stenosis. Our surgical option was pneumonectomy and bronchoplasty with sleeve right middle and upper lobectomy respectively. During the operation we found the SEMSs were tightly impacted in restenotic bronchial lumen with overgrowth of granulation tissues. The bronchial obstructions occupied more than 90% of lumens in both cases, and needed much complicated procedure to be relieved. Therefore, even though the insertion of SEMS remains as a prcedure determined by the physician`s preference, it has to be considered prudently that the use of SEMS can cause severe restenosis and the surgeon has more difficulties in performing segmental resection of restenotic bronchus in patient with SEMS previously inserted. Throughout these experiences we can conclude that the insertion of SEMS must be performed only in very selected cases of bronchial stenosis.

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급성 대동맥 박리증에 의한 하지 관류부전의 치료 (Successful Treatment of Lower Extremity Malperfusion Caused by Acute Aortic Dissection)

  • 이재훈;김형태;김영환;최세영;금동윤;박남희
    • Journal of Chest Surgery
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    • 제39권12호
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    • pp.934-938
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    • 2006
  • 대동맥 박리증에 의한 관류부전은 진단상의 어려움을 야기할 뿐만 아니라 술 후 환자사망의 주요 원인으로 작용한다. 이러한 관류부전은 여러 가지 기전에 의해 나타나며, 이에 따른 적절한 치료방법의 선택이 환자예후에 중요한 영향을 미친다. 사지 관류부전의 경우 통상적으로 혈관 우회술이 주로 사용되어졌으나, 비침습적인 중재술이 하나의 좋은 치료방법으로 대두되고 있다. 저자들은 급성 대동맥 박리증에 의한 하지 관류부전 환자에서 대동맥치환술에 이은 스텐트 삽입술로 좋은 결과를 얻었기에 문헌과 함께 보고한다.

총상으로 인한 경동맥-경정맥 동정맥루 (Carotid-jugular Arteriovenous Fistula Caused by Gunshot Injury)

  • 한종희;김용호;유정환;강민웅;유재현;임승평;이영;나명훈
    • Journal of Chest Surgery
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    • 제39권5호
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    • pp.407-410
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    • 2006
  • 경동맥과 경정맥 사이의 외상성 동정맥루는 매우 드문 질환이고 경부의 해부학적 복잡성으로 인해 외상 후 진단을 놓치는 경우가 있으므로 혈관 손상이 있는 경우에는 동정맥루의 발견을 위해 적극적인 검사가 필요하다. 44년 전에 경부에 총상을 입은 57세 남자에서 늦게 발견된 경동맥-경정맥간의 동정맥루를 치험하였기에 보고하는 바이다.

요골신경마비(撓骨神經痲痺) 치험(治驗) 1례(例) (A Case of Radial Nerve Palsy)

  • 이광호;김태우;장보형;권오섭;류충렬;조명래;문경숙
    • 대한약침학회지
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    • 제7권3호
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    • pp.115-122
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    • 2004
  • Objective : The purpose of this study is to report the patient with radial nerve palsy, who improved by oriental medical treatment. Methods : The patient was managed by Cathami Flos aqua-acupuncture, Dong-Qi acupuncture treatment, Comman acupuncture treatment and Herbal medicine. We took pictures of patient's wrist and checked the power of muscles. And we checked the numbness of thumb that was patient's subjective sensation. Results : After 2 weeks-treatment, the movement and power of wrist was restored to nearly normal range, also the numbness of thumb was removed. Combined oriental medical treatment can treat radial nerve palsy earlier than the other methods. Conclusions : The results suggest that combination of Cathami Flos aqua-acupuncture, Dong-Qi acupuncture treatment, Comman acupuncture treatment and Herbal medicine is good method for treatments of radial nerve palsy. But further studies are required to concretely prove the effectiveness of this method for treating radial nerve palsy.