• 제목/요약/키워드: Clinical characteristic

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소아(小兒) 한증(汗症)에 대한 임상적(臨床的) 고찰(考察) (A Clinical Study on Children with Excessive Sweating)

  • 윤지연;김윤희
    • 대한한방소아과학회지
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    • 제17권1호
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    • pp.157-168
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    • 2003
  • The purpose of this study was to evaluate clinical characteristic and correlation with growth and weakness of children with excessive sweating. The study was progressed in children with excessive sweating who visited Dong-Eui Oriental Medical hospital from may to june, 2003. The results were as follows: 1. The growth numerical value on height and weight of children with excessive sweating was normal range ( height: p-value=0.089 >0.05, weight: p-value= 0.622>0.05). 2. In sweating region, head and neck 46.7%, forehead 23.3%, whole body 16.7%, back 10.0%, hand and foot 3.3%. In sweating time, sleeping 53.3%, acting 20.0%, uncertainty 20.0%, eating 3.3%, tense situation 3.3%. 3. In family history of excessive sweating, 'yes' was 65.2%, 'no' was 34.8%. 4. The growth numerical value on height did not concerned with sweating region and time, but in group in 75 marks, 'head and neck' was many. 5. The growth numerical value on weight have no concern with sweating region, but sweating time(F=3.312, p-value=0.026

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메트로니다졸에 의해 유발된 가역적 뇌증 2례 (Reversible Metronidazole-induced Encephalopathy)

  • 지기환;이정;윤창호;하충건
    • 대한임상독성학회지
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    • 제4권2호
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    • pp.131-136
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    • 2006
  • Metronidazole is an antimicrobial drug widely used against various types of infectious agents, including protozoa, amoeba, Helicobacter pylori, and anaerobes. Metronidazole may produce some adverse effects on hematologic, immunologic, neurologic and other systems. We report a case of reversible metronidazole-induced encephalopathy. The toxic dose of metronidazole and the onset of encephalopathy were variable. Two patients showed abnormally high signal intensity in the bilateral dentate nucleus of cerebellum, and characteristic abnormalities were detected by brain magnetic resonance imaging (MRI) and T2-weighted images, fluid-attenuated inversion recovery images and/or diffusion weighted imaging (DWI). Discontinuation of metronidazole resulted in the improvement of the neurologic symptoms over a period of two to three weeks. We followed up the brain MRI with DWI in one case following obvious clinical improvement, and the previously detected lesion had disappeared.

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방사선 사고와 급성 방사선 증후군 (Radiological Accident and Acute Radiation Syndrome)

  • 노형근
    • 대한임상독성학회지
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    • 제9권2호
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    • pp.39-48
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    • 2011
  • In mass casualty situation due to radiological accidents, it is important to start aggressive management with rapid triage decisions. External contamination needs immediate decontamination and internal contamination should be treated with special expertise and equipment to prevent the rapid uptake of radionuclides by target organs. Acute radiation syndrome shows a sequence of events that varies with the severity of the exposure. More severe exposures generally lead to more rapid onset of symptoms and severe clinical findings. After the massive exposure, various systems of the body reflect their severe damages that can lead to death within hours or up to several months. The disease progression has classically been divided into four stages: prodromal, latent, manifest illness, and recovery or death. Three characteristic clusters of symptoms including the hematopoietic syndrome, the gastrointestinal syndrome and the cerebrovascular syndrome are all associated with the acute radiation syndrome. The standard medical management of the patients with a potentially survivable radiation exposure includes good medical, surgical and supportive measures. Specific treatment with cytokines and bone marrow transplantation should be considered. The management of internal contamination is much the same as the treatment of poisoning. The standard decontamination should be applied to reduce uptake, and the chelating agents can be administered to enhance the clearance of radioisotopes. Radioactive iodine ($^{131}I$) as one of the nuclear fission products can increase the incidence of thyroid cancer in children. Potential benefit of potassium iodide prophylaxis is greater especially in neonates, infants and small children.

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중의정지병증적내함해석(中医情志病证的内涵解析) (The meaning of Mental Disorder in Chinese Medicine)

  • 노명원
    • 대한한의학원전학회지
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    • 제22권4호
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    • pp.39-42
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    • 2009
  • Jeongji(情志) in Chinese medicine refers to a series of psychological activity which is expressed as hui(喜), no(怒), wu(優), sa(思), bi(悲), gong(恐), gyeong(驚), together with emotion, sentiment, and cognition, which are manifested as responses of the human body to environmental changes both inside and outside. Sa(思) is a major cognitive activity, and the other six emotions are main emotional activities. The emphasis on the interrelationship between cognition, sentiment, and emotional activity is a unique characteristic of the Jeongji(情志) concept in China. Jeongji[Mental] disorder refers to a series of diseases that has a close link between the attack, clinical presentation and emotional stimulation. The attack is deeply affected by emotional stimulation, with which physical symptoms are either present or absent. However, emotional changes are clear most of the time, their effect on disease development noticeable as well. To sum up, Jeongji[Mental] disorder is related to a wide range of medical problems in fields such as internal, surgical, gynecology, pediatrics, and various psychiatric disorders, not to mention contemporary psychological disorders, neurosis, and all kinds of mental illnesses of today. Moreover, the mental and physical disorders of today all share a common pathogenesis, clinical manifestation and treatment discipline. All the more reason for deeper professional research.

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Rabies in a Wildebeest (Connochaetes gnou): A Case Study at Bangabandhu Sheikh Mujib Safari Park, Cox's Bazar, Bangladesh

  • Biswas, Dibyendu;Rahman, Zahed Md.Malekur
    • Journal of Forest and Environmental Science
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    • 제34권1호
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    • pp.95-100
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    • 2018
  • Rabies causes the highest mortality of all viral diseases in the world unless the victim has been protected either by active immunization or post-exposure immunoprophylaxis. Infected stray dogs, raccoons, skunks, foxes and bats are the demonstrated carriers of most cases of rabies. It is difficult to diagnose a rabid animal in the field unless characteristic clinical signs are evident. However, this study used a commercial fast check kit comprised of immunochromatographic test (ICT) strips (ICTS) to diagnose rabies infection in clinically suspected samples obtained from a wildebeest. A 10-year old male wildebeest (approximate weight, 150 kg) died at Bangabandhu Sheikh Mujib Safari (BSMS) Park, Cox's Bazar, Bangladesh with a clinical history of severe excitation and abundant oral secretions. A gross pathological examination revealed no specific lesions indicating any fatal diseases. The entire brain was collected within 6 hours of death, and the brain sample was tested using the ICT strips following the manufacturer's directions. The rabies viral antibody was detected within the brain stem and medulla of the brain tissue of the dead wildebeest.

Mollaret Meningitis로 진단한 무균성 뇌막염 1례 (A Case Mollaret Meningitis)

  • 정민경;성태정;김자경;양윤정;홍영진
    • Pediatric Infection and Vaccine
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    • 제7권1호
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    • pp.159-164
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    • 2000
  • 저자들은 14세 남아에서 4년간 3차례 발병한 Mollaret meningitis 1례를 경험하였기에 문헌 고찰과 함께 보고하는 바이다. 아울러 정확한 진단과 감별을 위해 뇌척수액의 세포학적 검사, herpes virus 동정, 뇌자기공명촬영 추적 검사 등이 필요할 것으로 사료된다.

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우울증 및 불안장애 환자에서 특성불안 차이에 따른 긍정심리요인의 특징 (Characteristic of Trait Anxiety and Positive Psychological Factors in Patients with Depression and/or Anxiety Disorders)

  • 안희영;민정아;김선영;채정호
    • 대한불안의학회지
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    • 제9권1호
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    • pp.61-67
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    • 2013
  • Objective : The aim of this study was to investigate the relationship between trait anxiety and positive psychological factors. Methods : A total of 429 outpatients diagnosed with depression and/or anxiety disorders surveyed with questionnaires measuring socio-demographic, clinical, and positive psychological factors. The relationships of trait anxiety with clinical symptoms and positive psychological factors were evaluated. Results : Patients with low trait anxiety showed high optimism, gratitude, hope, spirituality and purpose in life. After adjusting age, scores of BDI and STAI-S, the results showed low trait anxiety was associated with high spirituality and purpose in life. Conclusion : The result revealed that trait anxiety had negative-relationship with spirituality and purpose in life in patients with depressive and/or anxiety disorders. Although trait anxiety was known as a general tendency which is stable, approach to trait anxiety by modulating these associated positive psychological factors would be newer approach of treatment to patients with depressive and/or anxiety disorders.

아토피 피부염 환자에서 한방 추출물이 포함된 외용제품에 대한 임상 효과 (Clinical Efficacy of External Preparation Containing Herbal Extracts m Atopic Dermatitis Patients)

  • 김정태;정현아;노석선;김창훈
    • 한방안이비인후피부과학회지
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    • 제20권2호통권33호
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    • pp.187-198
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    • 2007
  • Background : Atopic dermatitis is a chronic and recurrent allergy eczema, called as 'Tae-yul'. It is a characteristic dermatitis, diagnosed from baby to adult, that carries severe itching. Objectivd : The aim of this trial is to examine the effect and safety of Medibebe in patients with atopic dermatitis. Methods : We made a comparison between before and after the use this product. Volunteers who satisfied the requirements were enrolled in the study. Degrees of severity of atopic dermatitis were measured by SCORAD index. Results : After 4 weeks' use of Medibebe, SCORAD index showed a decrease of $20.0{\pm}10.2$(95% C.I: 17.1-22.9) compared with when it was not applied, which is a statistically meaningful change(p-value<0.0001). Subjective pruritus and Sleeping loss reported after both 2 and 4 weeks' use of Medibebe decreased in a statistically meaningful way(p-value<0.0001) compared with before the application. but, 2 cases out of all 50 subjects for the clinical trial were excluded on the way. Conclusion : As a result of applying the 4 items of Medibebe(cream, lotion, soap, and body cleanser) to patients with atopic dermatitis and watching the progress, it is concluded and considered that these cleansing and moisturizing products can be used by atopic patients safely and effectively with almost no side-effect.

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신경정신과(神經精神科)를 내원(來源)한 두통환자(頭痛患者)에 대한 임상적(臨床的) 고찰(考察) (A Clinical Study of Patients with Headache visited Neuropsychiatry)

  • 심상민;허성
    • 동의신경정신과학회지
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    • 제11권1호
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    • pp.83-96
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    • 2000
  • Objectives: In order to study the effect of the oriental medical therapy on the patients who visited Neuropsychiatry and oriental medical differentiation of symptoms and signs with ABR (Autonomic Bioelectric Response recorder)-2000, these clinical studies were performed. Methods: Sixty six patients with headache were classified into three groups; the first is tension headache, the second is migraine headache, the last is the others, each group was investigated of a various characteristic, the effect of the oriental medical therapy and stress was measured by ABR-2000. Result: 1. According to the statics, the tention headache's rate was higher than migraine; on the whole woman's rate was higher than man's. however in the migraine the rate of sex was equal. 2. According to the cause facter, oversensitiveness, overexertion, dyspepsia, etc. were numorous in the order. 3. According to the oriental medical differentiation of symptoms and signs, the rate of stagnation of the liver-qi' s fire-transmission(肝鬱化火) and deficiency of qi(氣虛), these two types were highest. result of analyzing ABR-2000 is that stagnation of the liver-qi's fire-transmission(肝鬱化火) is the highest stress. 4. According to treatment rate, 80.3 percent of patients satisfied of treatment.

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Skeletal Manifestations of Mucolipidosis II/III

  • Cho, Sung Yoon
    • Journal of mucopolysaccharidosis and rare diseases
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    • 제2권1호
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    • pp.8-12
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    • 2016
  • Mucolipidosis (ML) is a kind of skeletal dysplasia. Characteristic X-ray findings of the bone may contribute to the early diagnosis and treatment of ML II/III. Skeletal radiographs show distinctive patterns at different ages: neonatal hyperparathyroidism, osteodystrophy (similar to chronic osteitis fibrosa cystica), and dysostosis multiplex. Patients with ML II/III show a mixture of osteodystrophic bone changes and atypical changes of dysostosis multiplex: proximal pointing of the metacarpals in the wrist, dysplastic changes in the lower third of the ilia, marked broadening of the ribs becoming oar-shaped, and beaking of the lower thoracic and lumbar vertebrae. In ML II, the osteodystrophy has clinical and radiographic features of neonatal hyperparathyroidism. In some neonatal subjects, chemical hyperparathyroidism is also demonstrated. After transient hyperparathyroidism in newborns, the progressive osteitis fibrosa cystica develops from 3-6 months of age. Patients with ML III show prominent skeletal involvement, particularly the destruction of vertebral bodies and the femoral heads. Intravenous pamidronate treatment is well tolerated, and it can produce clinical effects, with a reduction in bone pain and improvements in mobility in patients with ML III. In this review, the skeletal manifestations of ML II and III are investigated.