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Tetanus Developing after a Traumatic Rectal Rupture - A Case Report - (외상에 의한 직장파열로 발생한 파상풍)

  • Kim, Jin Soo;Kim, Ki Hoon;Park, Sung Jin;Nam, So Hyun;Kim, Woon-Won;Kim, Yong Han
    • Journal of Trauma and Injury
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    • v.26 no.3
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    • pp.214-217
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    • 2013
  • Tetanus is a neurologic disorder caused by a tetanospasmin released from Clostridium tetani and usually occurs as a result of a dirty open wound or abrasion. Post traumatic tetanus is a life threatening disease and has a mortality rate of 15~39%. Because of a nationwide active immunization program, tetanus is a rare disease in Korea. Thus, many physicians have little experience with its diagnosis and management, and misdiagnosis and therapeutic delay may have catastrophic consequences. We report a case of tetanus that developed in a patient who had been diagnosed with a traumatic rectal rupture.

Nutritional State of Children in the Democratic People's Republic of Korea (DPRK): Based on the DPRK Final Report of the National Nutrition Survey 2012

  • Kim, Jeong Eun
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • v.17 no.3
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    • pp.135-139
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    • 2014
  • A nationwide nutrition survey began when the Democratic People's Republic of Korea (DPRK) requested assistance from international relief organizations in 1997 due to flooding in 1995-1996, followed by the worsening food shortage peak in 1997. According to reported data for the 15 years since the active intervention and assistance from international societies, the malnutrition and mortality rates of children in the DPRK have improved. However, the prevalence of the stunting reported in the latest 2012 report is 27.9%, which is still a moderate-severe level, and worrisome in terms of international standards. In particular, the prevalence in Ryangangdo, which is regarded as the worst region in the DPRK, is 39.6%, which is a very high level of stunting. To alleviate such regional deviation will be a major task for future assistance. In addition, one cannot emphasize too highly the importance of early nutritional assistance for pregnant women and infants, considering that the recovery from stunted growth is low after two years of age, and the aftereffects would continue for the rest of their lives.

Successful TAE after DCS for Active Arterial Bleeding from Blunt Hepatic Injury in a Child: A Case Report

  • Park, Chan Ik;Lee, Sang Bong;Yeo, Kwang Hee;Lee, Seungchan;Park, Sung Jin;Kim, Ho Hyun;Kim, Jae Hun;Kim, Chang Won;Park, Chan Yong
    • Journal of Trauma and Injury
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    • v.29 no.2
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    • pp.47-50
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    • 2016
  • Transcatheter arterial embolization (TAE) for blunt hepatic injury in children is not common and is especially rare after damage control surgery (DCS). We report a successful TAE after DCS on a child for massive bleeding from the left hepatic artery due to a motor vehicle accident. The car (a sport utility vehicle) ran over the chest and abdomen of a 4-year-old boy. On arrival, initial vital signs were as follows: blood pressure, 70/40 mmHg; heart rate, 149/min; temperature, $36.7^{\circ}C$; respiratory rate, 38/min. After resuscitation, computed tomography was done, and a suspicious contrast leakage from a branch of the left hepatic artery and a spleen injury (grade V) were found. TAE was performed successfully after DCS for a liver injury.

Extraplerual and Mediastinal Hematoma Caused by Injury to the Internal Mammary Artery after Blunt Chest Trauma - A case report - (흉부둔상으로 인한 내유동맥손상으로 발생한 흉막외혈종과 종격동혈종 - 1예 보고 -)

  • Choi, Chang-Seock;Kim, Han-Yong;Kim, Myoung-Young;Park, Jae-Hong
    • Journal of Chest Surgery
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    • v.41 no.1
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    • pp.133-136
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    • 2008
  • Injury to the internal mammary artery secondary to blunt chest trauma is a rare condition. It is also uncommon to see extraplerual and mediastinal hematoma in these circumstances; this demands early diagnosis and active treatment. We report here on a 59 year old man who underwent surgery for extraplerual and mediastinal hematoma, and this was all due to injury of the internal mammary artery after blunt chest trauma. We also include a review of the relevant literature.

Combination of Korean Medicine Therapy to Treat Posttraumatic Knee Stiffness: A Case Report (외상 후 슬관절 강직에 대한 복합 한의치료의 경과: 증례보고)

  • Lee, Geon-Yeong;Seol, Jae-Uk;Jo, Hee-Geun;Kwon, Min-Gu;Jeong, Sin-Yeong;Kim, Jong-Hwan;Park, Eo-Jin
    • Journal of Korean Medicine Rehabilitation
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    • v.27 no.2
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    • pp.109-115
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    • 2017
  • The purpose of this study is to illustrate the potential for clinical improvement in treating a patient with a case of Posttraumatic Knee Stiffness with a combination of Korean medicine therapy. We treated the patient with acupuncture, electroacupuncture, CHUNA manual therapy and Interferential Current Therapy from $5^{th}$ December 2016 to $13^{th}$ January 2017 (total 29 times) by evaluating knee function with VAS score. After six weeks of treatment, this patient achieved effective outcome following the technique, showing that clinical symptom as able to walked and pain was relieved, VAS changed from 10 to 2 and the knee flexion ROM (active/passive) changed from 30/60 degrees to 120/140 degrees. This result shows that Korean Medicine therapy may be an effective option for Posttraumatic Knee Stiffness. Further clinical studies are needed to clarify the effect of Korean Medicine therapy on Posttraumatic Knee Stiffness.

MOGABA: Monitoring of Gamma-ray Bright AGN with KVN 21-m radio telescopes at 22, 43 and 86GHz

  • Lee, Sang-Sung;Byun, Do-Young;Baek, Junhyu;Han, Myounghee;Yang, Jihae;Sohn, Bong Won
    • The Bulletin of The Korean Astronomical Society
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    • v.37 no.2
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    • pp.239.2-239.2
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    • 2012
  • We report preliminary results of MOGABA project for monitoring total flux density, linearly polarized flux, and polarization angle at 22, 43 and 86GHz of Gamma-ray bright AGN (Active Galactic Nuclei) with KVN (Korean VLBI Network) 21-m radio telescopes. The project has been conducted in one year since May 2011 with an effective monitoring cycle of 1 week, observing four main objects (3C 454.3, BL Lac, 3C 273, and 3C 279). More objects were included in the source list when they had flared in Gamma-ray. Especially, we included a compact radio source at the Galactic center, SgrA* since Jan. 2012. In this paper, we report the current status of the project and preliminary results for the monitoring observations.

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Cephalic Tetanus Presenting with Dysphagia as an Initial Symptom: A Case Report (초증상으로 연하장애를 호소한 두부형 파상풍 환자 1예)

  • Oh, Kyoung-Ho;Ju, Young-Ho;Kwon, Do-Young;Hong, Seok-Jin;Kwon, Soon-Young
    • Korean Journal of Bronchoesophagology
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    • v.16 no.2
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    • pp.157-160
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    • 2010
  • Tetanus is a life-threatening infection that is rare in the developed country. Because of the rarity: of the disease, the clinician may be unfamiliar with the clinical presentation and unsuspecting of the diagnosis. However, tetanus can rapidly progress into lethal muscle spasms accompanied by respiratory insufficiency, and it has a mortality of 15 to 30%. The most common presenting symptom was trismus, followed by neck pain, dysphagia, generalized pain and facial muscle contractions. Dysphagia is a common symptom of tetanus, but not common as an initial symptom, the correct diagnosis and adequate therapy are likely to be delayed. Treatment involves administration of penicillin, tetanus immune-globulin, debridement of wounds, aggressive supportive care, and initiation of active immunization. We report an elderly woman presenting with dysphagia as an initial symptom of tetanus with review of literature.

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Correction of Class III malocclusion with alternate rapid maxillary expansions and constrictions using a hybrid hyrax-mandibular miniplate combination and simultaneous orthodontic treatment: A case report

  • Martinez-Smit, Rosana;Aristizabal, Juan Fernando;Filho, Valfrido Antonio Pereira
    • The korean journal of orthodontics
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    • v.49 no.5
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    • pp.338-346
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    • 2019
  • In this report, we describe the successful use of alternate rapid maxillary expansions and constrictions with a hybrid hyrax-mandibular miniplate combination and simultaneous orthodontic treatment for the management of severe Class III malocclusion due to maxillary hypoplasia in an 11-year-old girl. The devices were removed after 20 months of treatment, and the family was instructed about a careful control and retention program that should be followed in accordance with the patient's growth. The final result included the correction of Class III malocclusion with adequate function and excellent facial esthetics, which restored the patient's self-esteem and provided personal motivation. The outcomes showed good stability after 24 months of retention. The decrease in the duration of active treatment is the most important finding from the present case. Considering that facial esthetics in adolescence is a determining factor for the development of a personality and interpersonal relationships, we recommend the use of this protocol for growing patients, who will exhibit not only an improved physical appearance but also a better quality of life.

Operative Treatment for Fibular Shortening after Trauma: A Case Report (외상 후 발생한 비골 단축증의 수술적 치료: 증례 보고)

  • Kim, Jiyoun;Kim, Gab-Lae;Lee, Chae-Ho
    • Journal of Korean Foot and Ankle Society
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    • v.25 no.4
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    • pp.177-180
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    • 2021
  • Pediatric ankle fractures can cause physeal injuries which can lead to the shortening of the fibula. This induces a lateral shift of the talus, valgus tilt, and instability of the ankle joint, which can result in an arthritic change in this joint. Patients with a shortening of the fibula may complain of constant pain and restricted movements in their daily lives and during sports activities. Ankle reconstruction with fibula lengthening Z-osteotomy can provide excellent results if arthritis is absent or minimal, especially in young and active patients. To the best of the authors' knowledge, this is the first report in South Korea regarding the treatment of fibula shortening following a growth arrest due to injury.

A Case Report of COVID-19 Treated with Herbal Medicine (코로나-19 환자 한약치료 치험 1례)

  • Park, Eun-soo;Oh, Seo-hye;Jeon, Seong-hyun;Park, Eun-young
    • The Journal of Internal Korean Medicine
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    • v.43 no.5
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    • pp.874-880
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    • 2022
  • Objectives: This study reports a case of COVID-19 in which the patient experienced improved clinical symptoms (fever, cough, anosmia, sore throat, pantalgia, and headache) after treatment with Korean medicine. Methods: A 47-year-old male patient diagnosed with COVID-19 was treated with herbal medicine (Mahwangbalpyotang-gagam) three times a day. His clinical course was assessed using changes in body temperature, the Numerical Rating Scale of clinical symptoms, and chest X-ray comparisons between pre-COVID-19 and post-COVID-19 conditions. Results: All the patient's clinical symptoms subsided in 11 days. After 15 days of treatment, his body temperature dropped to a normal range, and the quarantine was lifted. A chest X-ray showed there was no active lung lesion in either lung field after COVID-19. Conclusion: This study suggests that herbal medicine treatment may be an effective treatment for relieving COVID-19's clinical symptoms.