• Title/Summary/Keyword: Abnormality diagnosis

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Psychobiological Approach for Post-Traumatic Stress Disorder (외상후 스트레스 장애의 정신생물학적 접근)

  • Park, Ki-Chang
    • Korean Journal of Psychosomatic Medicine
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    • v.4 no.1
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    • pp.124-137
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    • 1996
  • As the society becomes more industrialized and modernized, we have more chances to experience a serious traumatic event. Post-traumatic stress disorder (PTSD) has 3 major categories of symptoms such as memory disturbance, hyperarousal and avoidance or numbness. I reviewed the psychobiological evidences in 3 main categories of symptoms and the biological treatment after a brief review of the epidemiology, psychosocial etiology and diagnosis of PTSD. The memory disturbance of PTSD might be developed by the potentiation of the memory pathway mediated by norepinephrine. PTSD induces HPA axis abnormality, it might also develop hippocampal dysfunction, which might contribute to the memory disturbance. The kindling effect develops desensitization, which might develop reexperiencing of the traumatic events and hyperarousal state. Chronic aroused state of locus ceruleus with resultant chronic maladaptive state of norepinephrine system, might develop hyperarousal state. Social avoidance and physical numbing state in PTSD might be caused by serotnin or opiate system. Stress induced analgesia might be developed by opiate reliesed against the acute stress. The biologic research results would help the selective treatment of PTSD.

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Diagnosis of neuropathic foot of diabetics using photo-plethysmography (용적맥파 측정법을 이용한 신경병증 당뇨병 족부질환의 진단)

  • Nam, Ki-Chang;Ryu, Chang-Yong;Jung, Won-Hyuk;Kim, Jin-Tae;Park, Joong-Hoon;Kim, Deok-Won
    • Proceedings of the KIEE Conference
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    • 2005.05a
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    • pp.39-41
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    • 2005
  • The population of diabetes is continuously increasing because of the economic development and the lifestyle modification. If diabetes become chronic condition, it can cause various complications. Among many other complications, diabetic foot is the most fatal issue since it may require amputation of the legs. Diabetic foot has three different types such as neuropathic, neuro-ischemic and ischemic. Among these types, patients of neuropathic foot experience sensory abnormality. Nerve conduction velocity (NCV) is used for diagnosing neuropathic foot but this method uses strong electric stimulus to cause severe pain to the patients In this study, two channel photo-plethysmography was used as noninvasive screening tool for distinguish neuropathic foot and normal group by observing blood flow of both finger and toe simultaneously.

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Clinical Features in 9 Dogs with Immune-Mediated Polyarthritis

  • Lim, Seula;Song, Kun-Ho;Seo, Kyoung-Won
    • Journal of Veterinary Clinics
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    • v.34 no.6
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    • pp.434-436
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    • 2017
  • Nine dogs with history of lameness and anorexia were presented. On physical examination, all dogs had gait abnormality and six dogs had high body temperature. Their clinical signs were mostly episodic, and only non-specific symptoms were occasionally observed. Arthrocentesis was performed in all dogs, and immune-mediated polyarthritis (IMPA) was diagnosed. Definitive rheumatoid arthritis (RA) and systemic lupus erythematous (SLE) were diagnosed in one dogs, one each. Prednisolone (PDS) was chosen as the first-line therapy for all dogs, except for the one with RA. Most cases responded to PDS but some cases including those of SLE and RA were refractory to PDS. IMPA can be challenging to diagnose due to its vague symptom and is commonly implicated in 'fever of unknown origin'. Therefore, clinicians should consider IMPA as a differential diagnosis when the patient has fever with systemic, non-specific signs, such as anorexia and depression, but does not respond to antibiotics.

Bilateral Osteoarthritis of Coxofemoral Joint in a Thoroughbred Horse

  • Jeong, Hyohoon
    • Journal of Veterinary Clinics
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    • v.35 no.5
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    • pp.247-249
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    • 2018
  • A 3-year-old black Thoroughbred colt weighing 500 kg was admitted to the Equine Hospital of Korea Racing Authority (KRA) due to the chronic gait abnormality of the hindlimbs. The history revealed that the patient had run and fallen onto the fence of the farm about at the age of 1 year old and the lameness had been worsening insidiously since the accident. The degree of lameness was 2/5 in accordance with the AAEP lameness grading system in both hindlimbs at hand walking and trot. The lameness was exacerbated at lunging clockwise and counterclockwise on both hindlimbs. The definitive diagnosis of the bilateral osteoarthritis of coxofemoral joint was established using radiography under general inhalation anesthesia. The prognosis was considered to be poor with low expectancy for racing and the colt was expelled from the racecourse eventually. The clinicians are required to consider the possibility of osteoarthritis of coxofemoral joint presented with chronic hindlimb lameness although it is rare. This is the first report on the bilateral osteoarthritis coxofemoral joint in Republic of Korea.

Study of the oriental medical literature for Metrorrhagia (붕루(崩漏)에 대(對)한 문헌적(文獻的) 고찰(考察))

  • Han, Coong Hee;Yoo, Dong Youl
    • Journal of Haehwa Medicine
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    • v.13 no.1
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    • pp.169-181
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    • 2004
  • Uterine bleeding is a physiologic monthly event occuring during the reproductive period of the nonpregnant woman. As with any other physiologic event, normal women have different menstrual patterns and at times, it is difficult to define when normality ends and abnormality begins. Dysfunctional uterine bleeding is an all-inclusive term: its diagnosis usually bepends on the exclusion of local or systemic organic causes. The term dysfunctional refers to alterations in the physiologic mechanism controlling a multitude of cyclic events in the women's reproductive function. These mechanism are primarily neuroendocrine in nature. According to oriental medicine, the Metrorrhagia(崩漏) means an abnormal bleeding of femail genetalia, and is devided to bungjung and bungha. The etiological factors of metrorrhagia are heat of blood, asthenic coldness, asthenia of chong and ren channels, deficiency of blood, deficiency of vital energy, stagnated blood, and asthenia of spleen & stomach.

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Clinical Applications of Quantitative EEG (정량화 뇌파(QEEG)의 임상적 이용)

  • Youn, Tak;Kwon, Jun-Soo
    • Sleep Medicine and Psychophysiology
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    • v.2 no.1
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    • pp.31-43
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    • 1995
  • Recently, the methods that measure and analyze brain electrical activity quantitatively have been available with the rapid development of computer technology. The quantitative electroencephalography(QEEG) is a method of computer-assisted analyzing brain electrical activity. The QEEG allows for a more sensitive, precise and reproducible examination of EEG data than that can be accomplished by conventional EEG. It is possible to compare various EEG parameters each other by using QEEG. Neurometrics, a kind of the quantitative EEG. is to compare EEG characteristics of the patient with normative data to determine in what way the patient's EEG deviates from normality and to discriminate among psychiatric disorders. Nowadays, QEEG is far superior to conventional EEG in its detection of abnormality and in its usefulness in psychiatric differential diagnosis. The abnormal findings of QEEG in various psychiatric disorders are also discussed.

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Febrile Hashimoto's encephalopathy mimicking infectious encephalitis

  • Lee, Jung-Ju;Youn, Michelle Sojung;Park, Jong-Moo;Kwon, Ohyun;Lee, Woong-Woo;Kang, Kyusik;Kim, Byung Kun
    • Annals of Clinical Neurophysiology
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    • v.22 no.1
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    • pp.24-28
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    • 2020
  • Hashimoto's encephalopathy (HE) is a heterogeneous encephalopathy with diverse clinical presentations. Here we report on a 69-year-old woman who presented with confusion, aphasia, fever, and focal ictal discharges. Cerebrospinal fluid analysis and a workup for other fever origins revealed no abnormality and a high level of thyroperoxidase antibody was detected, which findings led to a diagnosis of HE. The symptoms subsided after treatment. This study highlights the importance of considering HE in patients presenting with fever and abnormal EEG findings.

Diagnosis and therapy for functional urinary incontinence in childhood (소아 기능성 요실금의 진단과 치료)

  • Kang, Ju Hyung
    • Clinical and Experimental Pediatrics
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    • v.51 no.11
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    • pp.1147-1151
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    • 2008
  • Functional urinary incontinence, the absence of any neurologic or structural abnormality as a cause of urinary incontinence in children, is one of the most common clinical problems encountered in pediatric and urologic departments, and it can be socially and emotionally distressing for the affected children. The prevalence rates of functional urinary incontinence in school-aged children are not very high and differ between boys and girls. The underlying mechanisms of functional urinary incontinence are heterogenous and can be associated with the following dysfunctions of both the storage and voiding patterns of the bladder: overactive bladder, dysfunctional voiding, lazy bladder syndrome, HinmanAllen syndrome, giggle incontinence, and vaginal voiding. Treatment methods for urinary incontinence in children should be chosen according to these clinical conditions. Treatment modalities generally consist of the treatment of comorbid conditions such as urinary infection and constipation, behavior therapy to modify learned voiding patterns, and pharmacotherapy primarily with anticholinergics and ${\alpha}$-adrenergic blockers. This review discusses the optimal treatment modalities, including treatment of the underlying voiding disorders, and diagnostic approaches related to functional urinary incontinence in children.

Tracking Regional Left Ventricular Wall Motion With Color Kinesis in Echocardiography (심초음파에서 국소 좌심실벽 운동 추적을 위한 Color Kinesis 구현에 관한 연구)

  • Shin, D.K.;Kim, D.Y.;Choi, K.H.
    • Proceedings of the KOSOMBE Conference
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    • v.1997 no.11
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    • pp.579-582
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    • 1997
  • The two dimnesional echocardiography is widely used to evaluate regional wall motion abnormaility, because of its abilities to depict left ventricluar wall motion. A new method, color kinesis is a technology or echocardiographic assessment of left ventricular wall motion. In this paper, we proposed a algorithm or color kinesis which is based on acoustic quantification and automatically detects endocardial motion during systole on a frame-by-frame basis. The echocardiograms were obtained in the short-axis views in normal subjects. Automated edge detection and endocardial contour tracing algorithm was applied to each frames, quantitative analysis based on segmentation was performed, and pre-defined color overlays superimposed on the gray scale images. Segmental analysis of color kinesis provided automated, quantitative diagnosis of regional wall motion abnormality.

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A Clinical study of cerebral palsy (경련(痙攣)을 동반(同伴)한 뇌성마미(腦性痲痺) 환자(患者) 1예(例)에 대(對)한 고찰(考察))

  • Jeong Hwan-Su;Lee Jin-Yong;Kim Deok-Gon
    • The Journal of Pediatrics of Korean Medicine
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    • v.13 no.1
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    • pp.181-190
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    • 1999
  • Cerebral palsy is a nonprogressive brain disorder occurring during gestation, parturition or neonatal period with resultant abnormality of posture or other deficits. Recently the early diagnosis and early treatment has been emphasized in management of cerebral palsy. We studied 1 cerebral palsied child that having been treated anticonvulsive therapy in Sangge-Baek Hospital(상계 백병원) for 1 year. We improved the patient's general condition through dispensing Herb-Med(養胃湯 加味), thus we could reduce the antiepileptic & Sedative drug dose simultaneously controlling convulsion. In this point, we could find the possibility of east-west integrated medicine's cooperation and the fact that Herb-Med could be helpful to controlling convulsion.

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