• Title/Summary/Keyword: Chest mobility

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Accidentally Induced Mercury Poisoning by Charlatan -Report of a Case- (수은 중독 1예 -병예 보고-)

  • 한경수
    • Journal of Oral Medicine and Pain
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    • v.9 no.1
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    • pp.29-33
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    • 1984
  • Dental mercury was injected accidentally to left upper buccal mucosa of a 16-year-old girl by charlatan in order to anesthetize a tooth for extraction; thereafter,injected elemental mercury was almost removed by drug adimnistration and surgical operations.One year have passed, still, there are many scaffered small radiopaque white globular cimages in dental, maxillo-facial, and chest radiographs. Redish swollen gingiva and mobility of left upper central incisor which is adjacent to mercury injection site are oral manifestations in this mercury poisoning case. Recently, the patient complains of metallic taste, gastric discomfort and abdominal pain which are thought to be symptoms of mercury poisoning, but there seems to be no serious sequelae now.

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Redo Konno Procedure - A case report - (Konno씨 수술 재수술 -1례 보고-)

  • 구관우;강신광;원태의;김시욱;박상순
    • Journal of Chest Surgery
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    • v.35 no.2
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    • pp.133-136
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    • 2002
  • A 28 year-old male who had received Konno procedure twelve years ago with 23mmmechanical aortic valve and bovine pericardium with which his small aortic annulus, ventricular septum and right ventricular outflow tract had been enlarged was transferred due to sudden congestive heart failure. There were perforations on aortic and interventricular portion of bovine pericardial patch above and below the aortic valve, respectively, which was calcified and denaturated severely. The perforations seemed to be attributed to the cracks, resulting from mobility of mechanical aortic valvc itself and stiffness of calcified and denaturated bovine patch. We performed a redo Konno procedure applying PTFE patch.

Unilateral vocal cord paralysis after open heart surgery -A report of 2 cases- (개심술후 발생한 일측성 성대마비 -2례 보고-)

  • 이종욱
    • Journal of Chest Surgery
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    • v.23 no.3
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    • pp.522-526
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    • 1990
  • We have experienced 2 cases vocal cord paralysis after open heart surgery. One was a postoperatively developed right unilateral vocal cord paralysis after prosthetic mitral valve replacement with tricuspid valve annuloplasty. The other was a postoperative left unilateral vocal cord paralysis after prosthetic aortic and mitral valve replacement with tricuspid annuloplasty. They were intubated for forty-eight and seventy-two hours but after extubation complained of hoarseness, aphonia, anxiety, and ineffective coughing Indirect laryngoscopy performed at about postoperative one week, revealed partial paralysis and decreased mobility of the vocal cord. After active phonation therapy, symptoms were improved gradually and in the follow up indirect laryngoscopy, the vocal cord paralysis was improved. The symptoms were recovered completely at about postoperative one month in both. The cause of vocal cord paralysis after open heart surgery may be any retraction or stretching injury to the recurrent laryngeal nerve, especially right side, during median sternotomy retraction and open heart operation procedures. As a result, avoid of excessive spread of median sternotomy retractor and excessive manipulation and retraction of the heart during open heart procedures will reduce the occurrence of the vocal cord paralysis.

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Survey on the Actual Wearing Conditions of Naval Duty Uniforms in Naval Vessels (해군 함상 근무복 개발을 위한 착용 실태 조사)

  • Lee, Hyo-Hyun;Shin, Sora;Lee, Joo-Young;Baek, Yoon Jeong
    • Fashion & Textile Research Journal
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    • v.17 no.4
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    • pp.646-656
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    • 2015
  • This study investigates the conditions of Korean naval duty and combat uniforms to develop a new design. Survey participants consisted of, 723 Sailors ($25.3{\pm}6.9yr$ in age, $43{\pm}53$ months in work experience, $174{\pm}6cm$ in height, $71{\pm}9kg$ in body mass) serving in the Korean Navy for over 12 months. The questionnaire consisted of 72 questions about anthropometric characteristics, preferred design, textiles, wear mobility, and subjective perceptions. The results showed that the preferred colors for future naval duty uniforms were blue in summer (69%) and black in winter (62%). Digital camouflage pattern (60%) and darker colors on the inside of shirt collar (87%) and the edge of sleeves (84%) were preferred. They favored more than one pocket on the upper arm and chest of the shirts (58%), narrower width around pant legs and hems than the current clothing (63%), self-controlled elastic waist (55%) and no cargo type pocket on the pants (45%). There were requirements to alleviate excessive heat stress in summer and to protect from the cold and wind in winter. Wrinkle-free (85%), anti-bacterial (78%), water-proof (75%), oil-proof (90%), and elastic (67%) textiles were preferred for Korean navy uniforms. These results will be applied to develop the next generation Korean navy uniforms.

Pneumonia due to tooth-like foreign body aspiration in a child with seizure disorder (경련성 질환을 가진 장애 아동에서 치아로 추정되는 이물질 흡인에 의한 폐렴)

  • Park, Minji;Lee, Ko-Eun;Lee, Jae-Ho
    • The Journal of Korea Assosiation for Disability and Oral Health
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    • v.14 no.1
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    • pp.26-30
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    • 2018
  • Aspiration of tooth can occur not only during dental treatment, but also due to factors like trauma or physiologic exfoliation of primary tooth. If this occurs, complications such as fever, cough, dyspnea, pain, and bronchitis can be appeared. 9 years-old girl with Lennox-Gastau syndrome visited the dental clinic for regular checkups. Calcified tooth-like material was observed in the chest PA x-ray, and maxillary left primary first molar was not observed in the patient's oral cavity. She had a history of hospitalization for pneumonia two months ago. Because it was considered that the tooth was likely to be aspirated and caused pneumonia, the extraction of remaining primary teeth with mobility was performed. It is necessary to reduce the risk of aspiration in patient with disabilities by performing active treatment such as removal of primary tooth with mobility or ill-fitting restorations.

Antioxidative Properties of Sachil-Tang Extract

  • Yi, Hyo-Seung;Moon, Jin-Young
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.23 no.4
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    • pp.872-882
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    • 2009
  • Sachil-Tang (SCT) has been traditionally used as a prescription of spasm of the esophagus by stress, pectoralgia and oppressive feeling of the chest in Oriental medicine. This study was carried out to investigate the antioxidant activities of the ethanol extract of SCT and its inhibitory effect on intracellular oxidation and vascular cell adhesion molecule-1 expression in human umbilical vein endothelial cells (HUVECs) using various methods. The SCT extract showed a strong inhibitory effect on free radical generating model systems, including DPPH radical, superoxide anions, hydroxyl radical, peroxynirite and nitric oxide. Besides, the SCT extract exhibited a strong inhibitory effect on lipid peroxidation in rat liver homogenate induced by $FeCl_2$-ascorbic acid, and protected plasmid DNA against the strand breakage in a Fenton's reaction system. The SCT extract also inhibited copper-mediated oxidation of human low-density lipoprotein (LDL), and repressed relative electrophoretic mobility of LDL. Furthermore, the SCT extract protected intracellular oxidation induced by various free radical generators and inhibited expression of vascular cell adhesion molecule-1 (VCAM-1) in HUVECs. These results suggest that SCT can be an effective natural antioxidant and a possible medicine of atherosclerosis.

Implementation and Evaluation of Optimal Dose Control for Portable Detectors with SiPM (SiPM을 통한 휴대용 검출기의 최적 선량 제어에 대한 구현 및 평가)

  • Byung-Wuk Kang;Sun-Kook Yoo
    • Journal of the Korean Society of Radiology
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    • v.17 no.7
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    • pp.1139-1147
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    • 2023
  • The purpose of this paper is to present and evaluate the performance of a method for controlling the dose for optimal image acquisition while minimizing patient exposure by applying a small-sized Photomultiplier(SiPM) sensor inside a portable detector. Portable detectors have the advantage of being able to quickly access the patient's location for rapid diagnosis, but this mobility comes with the challenge of dose control. This paper presents a method to identify the dose that can have the DQE and optimal image quality of the detector through image evaluation based on IEC62220-1-1, an international standard for X-ray imaging devices, and to identify the optimal dose by matching the ADU of the image and the output of the SiPM Sensor. The Skull AP image was acquired by implementing the detector manufacturer's reference dose. The optimal dose was 342.8 µGy, and the optimal controlled dose was 148.3 µGy, which is 57 % of the manufacturer's reference dose. The Chest AP image was 81.9 µGy and the optimal controlled dose was 27.9 µGy, which is a high dose reduction effect of 66 %. In addition, the two images were analyzed by five radiologists and found to have no clinically significant difference in anatomical delineation.

A Study on Perceived Discomfort in Patients Following Cardiac Catheterization (심도자 검사 환자의 불편감에 관한 연구)

  • 이은자
    • Journal of Korean Academy of Nursing
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    • v.25 no.1
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    • pp.124-140
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    • 1995
  • Cardiac cathererization has become a routine diagnostic procedure indicated for evaluation of a wide varity of cardiac conditions. Patients are admitted to the coronary care unit after cardiac catheterization. These conscious patients report feeling uncomfortable in the CCU, but no studies have been done on the effects of bed rest, sand bags on the femoral puncture site and restricted mobility for 4 to 12 hours or longer postprocedure. The main objective of this thesis is to provide basic data to nursing on interventions which de-crease the uncomfortableness experienced by patients in the CCU following cardiac catheterization. In this phenomenological study, the various discomforts felt by the patients were collected and classified. The study subjects were a convenience sample of 29 patients who were admitted to the CCU of a general hospital in Inchon following cardiac catheterization. They were conscious, so they were able to communicate without difficulty. The data were collected over an U days period from July 21, to October 14, 1994. The subjects were interviewed using unstructured open questions and the interviews were tape recorded with the patient's permission The data were analyzed using the Van Kaams phenomenological method. Reliability and validity were exammed by two professor of nursing science, one head nurse, one staff nurse and one cardiologist. The results of the study are summarized as follows ; 1. The 129 descriptive statements by the postcardiac catheterization patients of discomfort were organized into 19 themes. 2. The 19 themes were divided into 3 categories ; physical, psychological, and environmental aspects. 3. The problems concerning the physical aspect were the discomfort of restriction of movement, dysuria, medical devices, pain in the puncture site, symptom is related to the procedure of cardiac catheterization, headache and dizziness, leg painand tingling sensation, and chest pain. The problems concerning the psychological aspect were regret resulting from dependency, economic burden, dissatisfaction with medical personnel, dissatisfaction with medical service system, anxiety about the result of the procedure, concern about the prognosis, loneliness, and concern over treatment procedure. The problems concerning the environmental aspect were influence from neighboring patients, noise, and maladaptation to environmental change. The necessity for holistic care which satisfies physical, psychological, and environmental need must be emphasized in order to solve these discomforts.

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Analysis of Correlation between Respiratory Characteristics and Physical Factors in Healthy Elementary School Childhood (학령기 정상 아동의 호흡 특성과 신체 조건에 관한 상관분석)

  • Lee, Hye Young;Kang, Dong Yeon;Kim, Kyoung
    • The Journal of Korean Physical Therapy
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    • v.25 no.5
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    • pp.330-336
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    • 2013
  • Purpose: Respiratory is an essential vital component for conservation of life in human, which is controlled by respiratory muscles and its related neuromuscular regulation. The purpose of this study is to assess lung capacity and respiratory pressure in healthy children, and to investigate relationship and predictability between respiratory pressure and other related respiratory functions. Methods: A total of 31 healthy children were recruited for this study. Demographic information and respiratory related factors were assessed in terms of body surface area (BSA), chest mobility, lung capacity, and respiratory pressure. Correlation between respiratory pressure and the rested variables was analyzed, and multiple regression using the stepwise method was performed for prediction of respiratory muscle strength, in terms of respiratory pressure as the dependent variable, and demographic and other respiratory variables as the independent variable. Results: According to the results of correlation analysis, respiratory pressure showed significant correlation with age (r=0.62, p<0.01), BSA (r=0.80, p<0.01), FVC (r=0.80, p<0.01), and FEV1 (r=0.70, p<0.01). In results of multiple regression analysis using the backward elimination method, BSA and FVC were included as significant factors of the predictable statistical model. The statistical model showed a significant explanation power of 71.8%. Conclusion: These findings suggest that respiratory pressure could be a valuable measurement tool for evaluation of respiratory function, because of significant relationship with physical characteristics and lung capacity, and that BSA and FVC could be possible predictable factors to explain the degree of respiratory pressure. These findings will provide useful information for clinical assessment and treatment in healthy children as well as those with pulmonary disease.

A Case of Amylase Producing Small Cell Lung Cancer (아밀라제를 생성하는 소세포성 폐암 1예)

  • Lee, Han-Min;Song, Young-Gu;Park, Tae-Byung;Hwang, Sung-Chul;Lee, Yi-Hyeong;Hahn, Myung-Ho;Yim, Hyun-Ee
    • Tuberculosis and Respiratory Diseases
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    • v.44 no.3
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    • pp.661-668
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    • 1997
  • The majority of lung cancers associated with hyperamylasemia are adenocarcinomas. Here we report an unusual case of a 54-year-old male patient who complained of dyspnea, anterior chest wall discomfort and facial edema for one month, presenting with a huge mediastinal mass and hyperamylasemia complicated by pericardial effusion. Histological evaluation of mediastinal mass revealed small cell carcinoma and pericardium showed nonspecific inflammation with fibrosis. The serum amylase had an electrophoretic mobility similar to that of salivary gland enzyme. There were no evidence of a salivary or pancreatic causes of hyperamylasemia. After chemotherapy, parenchymal lung lesions improved and hyperamylasemia disappeared. For the management of pericardial effusion, a pericardial window was formed. We concluded that the striking increase in serum amylase was due to the ectopic production of this enzyme by the tumor.

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