• Progress in Superconductivity
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• 제8권1호
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• pp.40-45
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• 2006

In emergency rooms, patients with acute chest pain should be diagnosed as quickly as possible with higher diagnostic accuracy for an appropriate therapy to the patients with acute coronary syndrome or for avoiding unnecessary hospital admissions. At present, electrocardiography(ECG) and biochemical markers are generally used to detect myocardial infarction and coronary angiography is used as a gold standard to reveal the degree of narrowing of coronary artery. Magnetocardiography(MCG) has been proposed as a novel and non-invasive diagnostic tool fur the detection of cardiac electrical abnormality associated with myocardial ischemia. In this study, we examined whether the MCG can be used fur the detection of coronary artery disease(CAD) in patients, who were admitted to the emergency room with acute chest pain. MCG was recorded from 36 patients admitted to the emergency room with suspected acute coronary syndrome. The MCG recordings were obtained using a 64-channel SQUID MCG system in a magnetically shielded room. In result, presence of CAD could be found with a sensitivity of 88.2 % in patients with acute chest pain without 57 elevation in ECG, demonstrating a possible use in the emergency room to screen CAD patients.

• 대한한방내과학회지
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• 제25권4호
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• pp.464-472
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• 2004

Aortic regurgitation occurs when there is a leakage of the valve backward into the left ventricle during diastole. Chronic aortic regurgitation may be present for decades before any symptoms occur. The left ventricle is able to compensate for the large volume of blood that flows backward by enlarging the cavity and increasing the thickness of the muscle. This mechanism allows the heart to pump out both the amount of blood required by the body and the blood that has gone backward into the left ventricle. One patient who had chest pain from exercise was treated. He was diagnosed with aortic regurgitation LVH by echocardiography. Signs showed him to be of Taeumin-type within Sasang Constitutional Medicine. He was prescribed Gamijoripewontang for 75 days, and improvement of clinical symptoms were observed. Results support prescription of Gamijoripewontang as an effective treatment for Taeumin-type patients suffering chest pain caused by aortic regurgitation.

• Pediatric Infection and Vaccine
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• 제31권1호
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• pp.153-157
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• 2024

Manubriosternal 관절의 패혈성 관절염은 특히 청소년에서 드물게 발생하는 질환으로, 종종 근골격 흉통, 갈비뼈염 등과 같은 보다 흔한 진단과 비슷하게 비특이적 증상으로 나타난다. 우리는 17세 소녀의 패혈성 관절염 사례를 보고하며 이러한 질환의 진단과 치료에 대한 어려움을 강조한다. 처음에는 일시적 비특이적 흉통으로 진단된 급성 흉통으로 시작하여, 환자의 응급실 재방문에서 고열과 같은 증상이 심화되어 추가적인 영상 촬영을 진행하였다. 결과적으로 Manubriosternal 관절의 패혈성 관절염 진단이 확인되었으며, 혈액 배양 결과 메티실린 감수성 황색포도상구균이 검출되었다. 진단 지연은 전형적인 증상의 부재 및 환자의 입원에 대한 소극적 태도 등이 영향을 끼친 것으로 보인다. 이 사례는 흉통이 있는 청소년에서 드문 감염 원인을 고려하는 중요성과 전형적이지 않은 해부학적 부위에서의 감염 의심의 필요성을 강조한다.

• Journal of Chest Surgery
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• 제26권9호
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• pp.738-742
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• 1993

The gastroesophageal cyst is rare variety of benign developmental cysts in the mediastinum and it arises from sequestrations of nodules of forgut in the developing embryo.The patient was 23 year old man with complaint of right chest pain. Simple chest X-ray and chest CT scan showed a huge homogeneous cystic mass in the posterior mediastinum. The resected cystic mass showed combining of portion of esophagus and stomach. The cyst was confirmed as gastroesophageal cyst.

• Journal of Chest Surgery
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• 제20권3호
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• pp.578-581
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• 1987

A very rare form of intrapulmonary cyst is an enterogenous cyst two examples of which were described by Ward and Krahl [1942]. Microscopically, the cyst wall is lined by gastric or intestinal type of mucous membrane which may include islets of pancreatic tissue; their walls contain muscle but no cartilage. We recently experienced a case of intrapulmonary enterogenous cyst. The patient was 30-year-old-male who showed chest pain and tightness after chest trauma. Chest X-ray revealed pneumothorax in both lung field with giant bullae in left upper lung field, right 6th and 7th rib fracture. Left lower lobectomy including cyst was done and the postoperative course was uneventful.

• Journal of Chest Surgery
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• 제17권3호
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• pp.470-474
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• 1984

33-year old female was admitted chest surgery department for evaluation of mild chest pain. Chest plain film showed right anterior mediastinal mass and small metastatic daughter mass ipsilateral side. Exploratory thoracotomy was performed 24th Aug. 83 revealed that small nodular parenchymal mass at right middle lobe and large cystic mass at anterior mediastinum which was connected with anterior mediastinal fat. Histological examination confirmed diagnosis as pulmonary hamartoma and thymic cyst individually. We successfully treated these two masses by wedge resection and excision. Although postoperative course was uneventful, the cause and associated relationship between two tumor origin were obscure.

• Journal of Chest Surgery
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• 제22권1호
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• pp.158-162
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• 1989

This paper reports a case in a 16-year-old female of intrapulmonary teratoma located in the right upper and middle lobes of the lung. The initial symptoms were high spiking fever, cough and chest pain. Initial chest X-ray revealed large homogenous mass in the right upper and middle lung fields. So intercostal tube drainage was done under the impression of the lung abscess. But mass density was remained on the follow-up chest X-ray, the patient had resection of the right upper and middle lobes of the lung. The gross and microscopic findings of the resected specimen revealed characteristic findings of the intrapulmonary teratoma. The patient is asymtomatic at present and living a normal life.

• The Korean Journal of Pain
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• 제29권4호
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• pp.277-279
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• 2016

• 한국컴퓨터정보학회논문지
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• 제24권2호
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• pp.157-161
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• 2019

In this paper, the researcher investigated whether strengthening the back muscles affects the quality of chest compressions during cardiopulmonary resuscitation by university students. A total of 50 students majoring in healthcare were included from September 2018 to November. The participants performed chest compressions during cardiopulmonary resuscitation (CPR) for 2 min after back muscle strength was measured. Then, after adequate rest, the participants repeated the back muscle strength measurements and chest compressions after taping the erector spinae muscle. The paired t-test was performed to analyze changes in chest compression quality after taping. As results, taping enhanced back muscle strength and positively affected the depth of chest compressions and the compression to recoil ratio. Taping also increased confidence and lowered fatigability during chest compressions, so the participants preferred being taped while performing chest compressions. Based on these results, taping could help emergency room medical personnel specialized in CPR to enhance the quality of CPR and relieve back pain and fatigability by strengthening the back muscles.

• Journal of Chest Surgery
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• 제42권2호
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• pp.272-274
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• 2009

칼돌기 부위에 고통을 느끼는 칼돌기 통증은 흔하지 않은 근골격계 질환으로 전흉부와 상복부, 목, 양측 어깨, 등으로 통증이 방사될 수 있다. 진단에서 중요한 것은 이러한 통증이 칼돌기의 이상에 의해서 발생할 수 있다는 것을 임상적으로 알고 있어야 한다는 것이다. 2 증례의 칼돌기 통증 환자를 경험하였는데, 칼돌기 부위를 가볍게 누르면 전흉부와 상복부의 통증이 반복적으로 재생산될 때 진단하였다. 수년간 칼돌기 통증으로 고통 받아 왔던 첫번째 증례 환자에서는 칼돌기 제거수술을 하였고, 두번째 증례 환자에서는 국소마취제를 주사하여 치료하였다.