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Azygos Vein Aneurysm - A Case for Elective Resection by Video-assisted Thoracic Surgery

  • Lee, Deok-Heon;Keum, Dong-Yoon;Park, Chang-Kwon;Kim, Jae-Bum;Rho, Byung-Hak
    • Journal of Chest Surgery
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    • v.44 no.4
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    • pp.304-306
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    • 2011
  • An azygos vein aneurysm is a very rare cause of a posterior mediastinal mass. Once the diagnosis has been confirmed, no treatment is usually required. However, the aneurysm can thrombose, and this may lead pulmonary thromboembolism, or the aneurysm may rupture. In these instances, the excision of the mass is recommended. Video-assisted thoracic surgery techniques have considerably improved. If it is necessary to remove the aneurysm, video-assisted thoracic surgery may be a good option for surgical treatment. We report a case of an aneurysm of the azygos arch that was successfully resected by video-assisted thoracic surgery.

Clinical Practice Guidelines of Korean Medicine for Hepatocellular Carcinoma (간세포암종 치료에 대한 한의 임상 가이드라인)

  • Hong, Sang-Hoon;Son, Ho-Young
    • Journal of Korean Traditional Oncology
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    • v.20 no.1
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    • pp.55-79
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    • 2015
  • Hepatocellular carcinoma(HCC) is the fifth most common cancer worldwide (fifth in male, seventh in female) and the third most common cause of cancer mortality. Since 2001, the various research group in the United States, Europe and Asia have published clinical practice guidelines for HCC. In Korea, a clinical practice guideline for HCC have been published by The Korean Liver Cancer Study Group in 2003, revised in 2009 and 2014. In China, oriental medicine clinical practice guideline have been published for the first time in 2014, and in the oriental medical profession of Korea, there is growing need for the guideline. This study will introduce the methods of diagnosis and the medical therapeutics which is commonly utilized for HCC in Korea, and existing korean medicine clinical practice guideline for Disease Analysis and Treatment(辨證論治) and herbal therapy of HCC. Further clinical research about various herbal medicines are needed to develop more advanced guideline of HCC.

Update on pertussis and pertussis immunization

  • Hong, Jung-Yun
    • Clinical and Experimental Pediatrics
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    • v.53 no.5
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    • pp.629-633
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    • 2010
  • Pertussis is a highly contagious respiratory tract disease caused by $Bordetella$ $pertussis$ infection. The clinical manifestation of this infection can be severe enough to cause death. Although pertussis has been supposed to be a vaccine-preventable disease ever since the widespread vaccination of children against pertussis was started, since the 1990s, cases of pertussis and related fatalities are on the rise, especially in countries with high vaccination coverage. In Korea, there have been no deaths due to pertussis since 1990, and the vaccination rate continues to be approximately 94%. However, the number of pertussis cases reported to the Korea Center for Disease Control and Prevention has tended to increase in the 2000s, and in 2009, there was an obvious increase in the number of pertussis cases reported. This review aims to present the latest information about the pathogenesis, diagnosis, treatment, and prevention of pertussis.

Proboscis lateralis: A case report of a rare giant craniofacial teratoma in an infant

  • Al-Shaqsi, Sultan;Al-Bulushi, Taimoor;Al-Hinai, Qasim
    • Archives of Plastic Surgery
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    • v.45 no.6
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    • pp.578-582
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    • 2018
  • Teratomas can occur in almost any region of the body and are the most common extragonadal germ cell childhood tumors. However, craniofacial teratomas are rare. Craniofacial teratomas can present unique features and cause significant functional and aesthetic concerns. There are complex lesions that can have components intra-cranially and extra-cranially. Therefore, their management requires significant multi-stage multidisciplinary surgical procedures. Herein, we present a case of craniofacial teratoma in a child with the phenotype of proboscis lateralis that highlights some of the pertinent point of the diagnosis and management of congenital neonatal teratomas.

Shorted-Turn Diagnosis Test for Generator Rotor Windings using Low Voltage Pulse Signal (저전압 펄스신호를 이용한 발전기 회전자 턴단락 진단)

  • Lee, Young-Jun;Kim, Byung-Rae;Whang, Young-Ha
    • Proceedings of the KIEE Conference
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    • 2009.07a
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    • pp.2019_2020
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    • 2009
  • A recurrent surge oscillograph(RSO) test was performed at the Taean thermal power plant on #5 turbine generator. The test was conducted using a rotor reflectometer and digital oscilloscope. A DC voltage step is applied to each end of the rotor winding in turn. Each reflected wave, at the input end of the winding, is monitored and the two waveforms are superimposed automatically and monitored on a single channel oscilloscope. As the half windings in a rotor are identical, the two waveforms monitored at each end of the rotor will also be identical for a healthy winding. A winding with a fault will cause different voltages to be monitored at the two ends.

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Vibration Analysis of Reciprocating Hydrogen Compressor (왕복동 수소 압축기의 진동 분석 및 평가)

  • Cho, Sung-Won;Lee, Jung-Hwan;Kim, Hyo-Jung;Choi, Byeong-Keun
    • Proceedings of the KSME Conference
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    • 2007.05a
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    • pp.1020-1025
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    • 2007
  • The reciprocating type hydrogen compressor is for high pressure and volume. However this type compressor makes pulsation caused by mechanical characteristic. This type compressor also makes noise and vibration that cause negative effect to machine and working condition. Therefore, diagnosis and countermeasure are needed to decrease vibration for safety on hydrogen compressor. therefore in this paper, the numerical analysis and vibration measurement is conducted in order to investigate vibration characteristic and to evaluation vibration condition, Respectively

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Clinical Approach to Children with Proteinuria

  • Jang, Kyung Mi;Cho, Min Hyun
    • Childhood Kidney Diseases
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    • v.21 no.2
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    • pp.53-60
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    • 2017
  • Proteinuria is common in pediatric and adolescent patients. Proteinuria is defined as urinary protein excretion at levels higher than $100-150mg/m^2/day$ in children. It can be indicative of normal or benign conditions as well as numerous types of severe underlying renal or systemic disease. The school urine screening program has been conducted in Korea since 1998. Since then, numerous patients with normal or benign proteinuria as well as early stage renal diseases have been referred to the hospital. Benign proteinuria includes orthostatic proteinuria and transient proteinuria. Most causes of proteinuria can be categorized into 3 types: 1) overflow, 2) tubular, and 3) glomerular. Although treatment should be directed at the underlying cause of the proteinuria, prompt evaluation, diagnosis, and long-term monitoring of these pediatric patients can prevent potential progression of the underlying disease process. This article provides an overview of proteinuria: its causes, methods of assessment, and algorithmic suggestions to differentiate benign from pathologic renal disease.

Cardiac Myxoma (심장 점액종)

  • Youm, Wook;Lee, Yung-Kyoon
    • Journal of Chest Surgery
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    • v.15 no.1
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    • pp.98-106
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    • 1982
  • Cardiac Myxoma is a most frequent benign tumor in primary cardiac tumors. About 75% occur in the left atrium & 20% in the right atrium, ventricular Myxoma is a very rare one among the cardiac myxoma. They may cause severe and progressive disease resembling valvular heart disease. With the advent of various diagnostic modalities, especially real time bidimensional echocardiography enabled us more accurate diagnosis of cardiac myxoma noninvasively and preoperatively. From April 1977 to Sept. 1981, 16 cases of cardiac myxomas were operated in Seoul National University Hospital using cardiopulmonary bypass. There were 13 cases of left atrial myxomas and each of a case was right atrial and right ventricular and left ventricular one. In all cases tumors were resected successfully & were discharged in healthy state. Follow up results of each patient was excellent.

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Surgical treatment of the pericardial cyst: a report of 3 cases (심막 낭종의 외과적 수술3례 보고)

  • Kim, Gi-Bong;Kim, Ju-Hyeon
    • Journal of Chest Surgery
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    • v.16 no.1
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    • pp.167-170
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    • 1983
  • Pericardial cysts are infrequent benign intrathoracic lesions. They rarely cause symptoms, and they are usually discovered on routine X-ray by chance. Over 70% of the cases occur at the right anterior cardiophrenic angle. Surgery is generally not indicated if the diagnosis of pericardial cyst can be made with certainty, and then an operation is performed to rule out other lesions. The authors present 3 cases of pericardial cyst confirmed by surgery. In two Gases Of the three, the pericardial cysts were located at the right anterior cardiophrenic angle, and in one case, at the left superior area of the posterior mediastinum. We managed them successfully by surgery, and they were discharged uneventfully.

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Surgical Treatment of the Morgagni Hernia: report of one case (Morgagni 탈장증 수술 1예)

  • 김송명
    • Journal of Chest Surgery
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    • v.12 no.4
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    • pp.429-433
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    • 1979
  • Morgagni hernia is a rare condition of the congenital diaphragmatic hernia which Is located at the anteromedial portion of the diaphragm, and is located immediately posterior to the sternum. Its cause is considered by embryologic defect and the abdominal organs are passed through a defect. The incidence is predirected women over 50 years old. Its synonym is hernia of subcostosternal, retrosternal, parasternal, rectocostoxiphoid, anterior diaphragmatic or Larrey`s. This report presents a symptomatic Morgagni hernia of ten months old male child on whom the diagnosis was established and was operated at the Busan Gospel Hospital. This patient was admitted with the chief complaints of mild cyanosis, frequent upper respiratory infections and protrusion of the right lower anterior chest. Herniorrhaphy was performed through the upper abdominal midline incision, hernial contents of the omentum and the colon, and sac as noticed from the Larrey`s space measuring 4 x 2 cm. in diameter and oval in shape. Interrupted sutures without difficulty repaired the defect. The cyanosis was disappeared and the patient had uneventful course of post-operative period. The patient was discharged at 7th. postoperative day. This case presentation with a brief review of literatures is given.

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