• 제목/요약/키워드: Choice of Cause

검색결과 274건 처리시간 0.027초

노인에서의 불면증 (Insomnia in the Elderly)

  • 손창호
    • 수면정신생리
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    • 제8권1호
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    • pp.5-10
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    • 2001
  • The prevalence of insomnia and the degree of impairment due to insomnia is greater than in the of young. The cause for insomnia in the elderly are various factors among the elderly is known to be high including medical, psychiatric, drug issues, circadian rhythm changes, sleep disorders, and psychosocial. So the careful evaluation to find the cause of insomnia is needed for the eldery. Treatment options for insomnia include behavior modification and pharmacotherapy. Outcome data from previous studies indicate that behavioral approaches produce reliable and durable therapeutic benefits, as evidenced by improved sleep efficiency and continuity and enhanced satisfaction with sleep patterns. Treatment methods such as stimulus control and sleep restriction, which target maladaptive sleep habits, are especially beneficial for older insomniacs, whereas relaxation-based interventions aimed at decreasing arousal, produce more limited effects. Cognitive and educational interventions are instrumental in altering age-related dysfunctional beliefs and attitudes about sleep. The choice of hypnotics is based on matching the nature of the insomnia to the hypnotic agent. The ideal agent has rapid onset, duration of action that lasts through the night but no residual daytime effects, and no adverse effects. The key for the healthcare professional is finding the appropriate treatment or treatment combination, including behavioral modification and pharmacotherapy. When hypnotics are indicated, the most appropriate short-acting agent should be considered.

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부갑상선 종양으로 오인된 경부 식도 과립세포종 1례 (A case of granular cell tumor of the cervical esophagus misdiagnosed as parathyroid tumor)

  • 김동환;방성식;신수진;태경
    • 대한두경부종양학회지
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    • 제34권2호
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    • pp.81-84
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    • 2018
  • Granular cell tumor is an uncommon neoplasm that can occur everywhere in the human body. Granular cell tumor of the cervical esophagus is rare. Histopathologically, granular cell tumor consists of large polygonal cells with small dark nuclei and abundant, fine, granular eosinophilic cytoplasm that show positive immunohistochemical staining using S-100 protein. Surgical excision is the treatment of choice for granular cell tumor. Recurrence is rare, but inadequate resection of granular cell tumor may cause local recurrence. We have experienced one case of granular cell tumor of the cervical esophagus that was misdiagnosed with parathyroid tumor. Therefore, we report it with the literature review.

Synthesis and evaluation of metal purine-type complexes for lung cancer imaging

  • Kang, Kyeung Jun;Ko, In Ok;Park, Ji-Ae;Kim, Jung Young
    • 대한방사성의약품학회지
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    • 제5권1호
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    • pp.61-68
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    • 2019
  • Purine type compounds has been recently reported to cause the death for lung cancer cell, related to microtubules-targeting agents (MTAs). Therefore it can be used to develop as theranostic radiopharmceuticals in nuclear medicine or gadolinium-based MRI imaging agents by chelate chemistry. In the study, we tried to chemically bind a DOTA chelate on the end of purine compound and obtained a specific conjugate of DOTA-purine for metal coordination. In particular, radiometal like Cu-64, for the development of MRI imaging agents, can be utilized to choice good candidates before the synthesis of gadolinium complexes. By the screening of radioisotope technique, Gd-DOTA-purine type complex was successfully prepared and showed MRI imaging for lung cancer cell into the mouse model.

성문하부 신경초종의 내시경적 절제술 1례 (Endoscopic Resection of Subglottic Schwannoma)

  • 이차희;박윤희;정수연;김한수
    • 대한후두음성언어의학회지
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    • 제26권2호
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    • pp.130-132
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    • 2015
  • Schwannoma of the larynx is uncommon neurogenic tumor that can cause the air way obstruction. For benign lesions, conservative surgical excision is the treatment of choice. Recently, we experienced a case of schwannoma originating from the subglottis in a 52 year old female patient. The tumor was removed successfully through endoscopic approach.

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경성 기관지내시경을 이용한 기관지내 과오종 치험 1예 (A Case of Endobronchial Hamartoma Treated with Rigid Bronchoscopy)

  • 김기현;홍현숙;고은석;고윤우
    • 대한두경부종양학회지
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    • 제24권1호
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    • pp.83-87
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    • 2008
  • Hamartoma is one of the most common benign lung tumors. Most of them are located in the lung parenchyme, but very rarely it can originate endobronchially. Endobronchial hamartoma may cause irreversible lung damage due to the bronchial obstruction if it is not diagnosed and treated properly. The most frequent clinical features are hemoptysis and obstructive pneumonia. Transbronchial endoscopic surgery is a good therapeutic choice and is recommended first for patients who have resectable small endobronchial hamartoma. Here, we report a case of endobronchial hamartoma treated with rigid bronchoscopy and various microforceps with a review of the literature.

하지불편 증후군과 주기성 사지운동장애의 진단과 치료 (Diagnosis and Treatment of Restless Leg Syndrome and Periodic Limb Movement of Sleep)

  • 함병주
    • 수면정신생리
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    • 제10권1호
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    • pp.26-31
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    • 2003
  • Restless leg syndrome (RLS) and periodic limb movement of sleep (PLMS), often concurrent, come under diagnosed disorders of sleep and treatable condition. RLS symptoms are evoked in the limbs at rest and increase in the evening and during the night. PLMS is characterized by periodic episodes of repetitive limb movements caused by muscle contractions during sleep. RLS is often associated with a sleep complaint and PLMS. Both RLS and PLMS represent one of the most commonly encountered sleep disorders in a primary care setting. The circadian rhythm and the presence of PLMS cause sleep disturbances in RLS. The emphasis on pathophysiology includes consideration of central nervous system localization, neurotransmitter, and the role of iron metabolism. Dopaminergic agents are considered the treatment of choice for RLS and PLMS. With proper diagnosis and effective treatment patients' ability to fall asleep and maintain sleep improves, and their sense of well being increases.

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자가 슬괵근을 이용한 전방 십자 인대 재건술 후 발생한 전경골 낭종 - 증례 보고 - (Pretibial cyst after Arthroscopic Anterior Cruciate Ligament Reconstruction using Hamstring Autograft - A Case Report -)

  • 서승석;김창완;하동준;정훈재
    • 대한관절경학회지
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    • 제13권1호
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    • pp.53-57
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    • 2009
  • The pretibial cyst is a very rare complication after anterior cruciate ligament (ACL) reconstruction. It occurs whatever kind of graft choice or kind of graft fixation method at tibial side. It have been known such as graft necrosis at tibial side, extra-articular leakage of joint fluid through tibial tunnel, foreign body reaction due to breakdown of the bioabsorbable screw and incomplete incorporation of graft to bony tunnel as the cause of pretibial cyst. We experienced one case of pretibial cyst which had undergone ACL reconstruction with autogenous hamstring graft fixed with biodegradable interference screw. We report a rare case of pretibial cyst with literature review.

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A study on combustion of blended straight vegetable oil in marine diesel engine cylinders

  • Nguyen, Dai An;Tran, The Nam;Dang, Van Uy
    • Journal of Advanced Marine Engineering and Technology
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    • 제39권8호
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    • pp.813-820
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    • 2015
  • Straight vegetable oil (SVO) is widely recommended as fuel for diesel engines in general and especially for marine diesel engines. However, SVOs used directly as fuel for diesel engines may cause problems for the engines; SVOs blended with diesel oil are a better choice. To widen understanding of the possibility of using blended SVOs as fuel alternatives, this paper presents results of experimental research on the combustion of blended straight vegetable oil in a marine diesel engine's cylinders. Results show that the fuel combustion process have the same curves as in simulations and, in the case of using blended fuels with up to 20% palm oil, the test diesel engine technical parameters such as engine output, exhaust gas temperatures, and specific fuel consumption are very similar to those of diesel oil (DO). Based on these results, marine diesel engines are strong potential applications and particularly recommended for the use of SVO blends.

스테인레스강(鋼) 용접부(熔接部)의 초음파감쇠(超音波減衰) 및 거짓신호(信號)에 관(關)한 연구(硏究) (Study on the ultrasonic attenuation and false indications of austenitic stainless sleet Steel weldment)

  • 강석철;이연필
    • 비파괴검사학회지
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    • 제3권1호
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    • pp.19-25
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    • 1983
  • Some studies have been made on the effects of the attenuation on the result of ultrasonic examination of austenitic stainless steel weldment and also on the cause of false indications. The differences in the amplitudes and the metal paths of the ultrasonic examinations have been measured experimentally, for two kinds of waves, one passed through only the parent material and the other one through the weldment. The effect of probe angles and frequency on the examination data have been investigated using the shear wave. It has been found that the false indications were caused by back reflection from the weld metal surface due to the characteristics of ultrasonic wave propagation. It has been confirmed that the probe of $2.25\;MHz\;and\;60^{\circ}$ is the best choice in the ultrasonic examination and that the correction of amplitude for attenuations is necessary.

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