• Title/Summary/Keyword: Clinical characteristic

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Histopathological studies on the macrophage behavior in lymphomyeloid tissues of tilapia, Oreochromis niloticus (나일틸라피아의 임파조혈조직내 대식세포(大食細胞) 분포변화(分布變化)에 관한 병리조직학적(病理組織學的) 연구(硏究))

  • Lee, Nam-Sil;Kim, Jee-Young;Jeong, Hyun-Do;Huh, Min-Do
    • Journal of fish pathology
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    • v.8 no.2
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    • pp.135-148
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    • 1995
  • To elucidate the distributional pattern of macrophages within lymphomyeloid tissues according to the disease process, tilapias, teleostean fish, were intraperitoneally injected with live Edwardsiellatarda and its extracellular product(ECP) respectively. And then histopathological examination for the spleen and gead kidney were carried out for the individuals which had not any clinical signs. In the group injected with live E. tarda, macrophages were densely organized into MMC-like structures with showing some degree of recovery in histological arrangement. At the 2nd week, overall structures of the lymphomyeloid tissues became normal, accompanying the disappearance of most of macrophage groups. Also in case of ECP injection, quite similar findings were observed. Moreover, macrophage collections and hypertrophied ellipsoids were recognized at 1hour after the injection of ECP in head kidney and spleen, respectively. These results suggested that characteristic behaviors of macrophages in lymphomyeloid tissues would be used as important morphological criteria for early diagnosis of edwarsiellosis or possibly of other infectious diseases.

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Kikuchi-Fujimoto Disease with Prolonged Fever in Children (장기간 발열을 보인 아급성 괴사성 임파선염의 임상적 연구)

  • Yeon, Yeong-Heum;Lee, Kyung-Yil
    • Pediatric Infection and Vaccine
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    • v.11 no.2
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    • pp.170-175
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    • 2004
  • Purpose : We experienced 7 patients with Kikuchi-Fujimoto disease(KFD) who had presented a prolonged fever and lymphadenopathy. The clinical and the laboratory aspects of the patients were analyzed. Methods : The medical records of the 7 KFD patients, who were confirmed by excisional lymph node biopsy from January 1996 through December 2003, were retrospectively analyzed. Results : The mean age of the children was $11.4{\pm}2.8$ years(ranging from 8 to 15 years). The male to female ratio was 1.3 : 1. The median duration of the fever prior to admission and the total duration of the fever were 12 days(ranging from 5 to 65 days) and 27 days(ranging 9 to 75 days), respectively. One patient had supraclavicular lymphadenopathy, 5 had cercical involvement, and 1 had axillary lymphadenopathy. All the histologic findings of the lymph nodes biopsies showed the characteristic findings consistent with KFD such as paracortical necrosis with karyorrhexis and an increase in the number of phagocytic histiocytes and atypical lymphocytes. As for the laboratory findings, leukopenia($3,800{\pm}700/mm^3$), anemia(hemoglobin, $11.0{\pm}1.2g/dL$), an elevated erythrocyte sedimentation rate($42{\pm}17mm/hr$), and a relatively low C-reactive protein level($1.3{\pm}0.9mg/dL$) were noted. Four patients received conservative therapy with antipyretics, and 3 patients were treated with prednisolone. Conclusion : KFD is a rare disease, yet should be considered in the differential diagnosis for older children with prolonged fever and lymphadenopathy.

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The Findings on Cardiothoracic Ratio in Simple Chest Radiography (Simple chest radiography에서의 심흉비(cardiothoracic ratio) 소견)

  • Kim, Ham-Gyum
    • Journal of radiological science and technology
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    • v.27 no.4
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    • pp.43-48
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    • 2004
  • The purpose of this study is to measure cardiothoracic ratio and to report the opinions on it, targeting 500 persons who were conducted simple chest radiography, in terms of clinical symptom, by visiting a medical examination center for S university hospital. As to the general characteristic of 500 research targets, it comprised 263 persons (52%) for males and 237 persons (48%), and the average age is 49.4. Out of 500 persons, it showed 125 persons (25%) in their thirties, 125 persons (25%) in their forties, 125 persons (25%) in their fifties, and 125 persons (25%) in their sixties. 1. In terms of the wholly 500 targets, the average value of cardiothoracic ratio was 0.48, and the average cardiothoracic ratio showed 0.45 in their thirties, 0.46 in their forties, 0.50 in their fifties, and 0.53 in their sixties. 2. The minimum value of cardiothoracic ratio was 0.33, and its maximum value was 0.70, and it showed 319 persons (63.8%) as to a case lower than 0.5, which is a normal value, and 181 persons (36.2%) as to a case more than 0.5, which is a normal value. 3. Among 181 persons who showed cardiothoracic ratio higher than normality, it showed 17 persons (9.4%) in their thirties, 22 persons (12%) in their forties, 54 persons (30%) in their fifties, and 88 persons (49%) in their sixties. 4. The average for the internal diameter (ID) of thorax was 141.8 mm, 229.6 mm at the minimum, and 353.5 mm at the maximum. 5. The average for the maximum transverse diameter of right side of the heart (MRD) was 48.0 mm, 4.95 mm at the minimum, and 84.5 mm at the maximum. The average for the maximum transverse diameter of left side of the heart (MLD) was 93.5 mm, 56.7 mm at the minimum, and 138.5 mm at the maximum. 6. The average for TD (MRD+MLD) of the heart was 292.6 mm, 96.6 mm at the minimum, and 199.2 mm at the maximum. 7. The average of cardiothoracic ratio (MRD+MLD/ID) was 0.48, 0.33 at the minimum, and 0.70 at the maximum.

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The Evaluation of CR and DDR chest image using ROC analysis (ROC평가 방법을 이용한 CR과 DDR 흉부 영상의 비교)

  • Park, Yeon-Ok;Jung, Eun-Kyung;Park, Yeon-Jung;Nam, So-Ra;Jung, Ji-Young;Kim, Hee-Joung
    • Journal of the Korean Society of Radiology
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    • v.1 no.1
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    • pp.25-30
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    • 2007
  • ROC(Receiver Operating Characteristic)curve is the method that estimate detected insignificant signal from the human's sense of sight, it has been raised excellent results. In this study, we evaluate image quality and equipment character by obtaining a chest image from CR(Computed Radiography) and DDR(Direct Digital radiography) using the human chest phantom, The parameter of exposure for obtaining chest image was 120 kVp/3.2 mAs and the SID(Source to Image Distance) was 180cm. The images were obtained by CR(AGFA MD 4.0 General plate, JAPAN) and DDR(HOLOGIC nDirect Ray, USA). Using some pieces of Aluminum and stone for expressing regions, then attached them on the heart, lung and thoracic vertebrae of the phantom. 29 persons hold radiology degrees were participated in ROC analysis. As a result of the ROC analysis, TPF(true positive fraction) and FPF(false positive fraction) of DDR and CR are 0.552 and 0.474 and 0.629 and 0.405, respectively. By using the results, the ROC curve of CR has higher image quality than DDR. According to the theory, DDR has the higher image quality than CR in chest X-ray image. But, CR has the higher image quality than DDR. quality of DDR inserted the enhance board. The results confirmed that image post-processing is important element decipherment of clinical.

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Evaluation of oral health with equipped prosthesis using OHIP-14 (OHIP-14를 이용한 보철물 장착자의 구강건강평가에 대한 연구)

  • Kim, Hye-Jin;Jeong, Hyun-Ja
    • Journal of Korean society of Dental Hygiene
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    • v.8 no.4
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    • pp.153-163
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    • 2008
  • The purpose of this study was to investigate the quality of life of clients who treated and equipped prosthesis in Eulji University Hospital in Dae-Jun City. The results of this study were as follows. The oral status of Female had more carious tooth than male had. Carious tooth(p<0.05) and losed tooth(p<0.001) was more popular in older female. The frequency of treated tooth was higher under 59 years old female than over 60 years old(p<0.01). In education category, carious tooth(p<0.05) and losed tooth(p<0.000) was more popular in low education than high education In the score of relation of OHIP-14 category and general characteristic, female was significantly higher than male in dysfunction( p<0.05), physical disorder(p<0.001) and activity disorder(p<0.05). The score was significantly higher in older than younger in dysfunction(p<0.05), physical disorder(p<0.001) and activity disorder(p<0.001). The score of education was significantly higher in low education group than high education group in physical pain (p<0.001), mental discomfort (p<0.001). The score of marriage status was significantly higher in marriaged group than other group in dysfunction (p<0.05) and mental discomfort (p<0.05). In the score of relation of OHIP-14 category and oral status, the score of carious tooth group was significantly higher in dysfunction(p<0.05), physical disorder(p<0.05) and activity disorder(p<0.05). The score of losed tooth group was significantly higher in dysfunction(p<0.05), physical pain (p<0.05), mental discomfort(p<0.05), physical disorder(p<0.05) and activity disorder(p<0.01). The score of non treated tooth group was significantly higher in dysfunction(p<0.05), mental discomfort(p<0.05), social disorder(p<0.05) and activity disorder(p<0.05). In the score of relation of OHIP-14 category and the sort of prosthesis, the score of being bridge group was significantly higher than being crown group in activity disorder(p<0.05). The OHIP-14 category and the number of prosthesis was not significant relationship. These results suggest that the information and services of the process of dental prosthesis based on subjective evaluation should be provided to clients rather than based on clinical evaluation. The continued system of oral management should be developed and provided.

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GARRE'S OSTEOMYELITIS IN CHILDREN (소아에서의 Garre 골수염)

  • Woo, Se-Eun;Kim, Young-Jin;Kim, Hyun-Jung;Nam, Soon-Hyeun
    • Journal of the korean academy of Pediatric Dentistry
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    • v.38 no.4
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    • pp.413-420
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    • 2011
  • Garre's osteomyelitis is associated with bacterial infection and bone necrosis resulting from obstruction of blood supply. The most common cause for Garre's osteomyelitis is odontogenic infection that originates from periodontal tissue or dental pulp. Subperiosteal abscess may also cause Garre's osteomyelitis in the progress of the infection. Mandible is more often affected than maxilla, most commonly in the permanent first molar region of mandible. Clinically, it results in a hard swelling over the jaw, producing facial asymmetry. Meanwhile, radiograph shows a characteristic feature of irregular pulpal cavity, showing new periosteal proliferation located in successive layers to the condensed cortical bone on stimulated site. The treatment method for Garre's osteomyelitis are removal of the infection source, root canal treatment, antibiotic medication, and incision and drainage. This report presents a case of Garre's osteomyelitis under 15 years old. The patient was successfully treated by antibiotic medication accompanied with root canal treatment. Since the symptom of pediatric patients is less severe than adult, careful diagnosis with history taking and clinical examination is necessary. Furthermore long-term follow-up examination is needed to prevent recurrence even after the symptom disapears.

A Survey on the Ethical Issues and Needs for Ethics Education of Nurses in Long-term Care Hospitals (요양병원 간호사의 윤리적 이슈와 윤리교육 요구조사)

  • Shin, Ja-Hyun;Seo, Myoung-Hee
    • The Journal of the Korea Contents Association
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    • v.18 no.6
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    • pp.180-192
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    • 2018
  • Purpose: This study is aimed to identify the ethical issues and needs for ethical education of nurses in long-term care hospitals. Methods: Data were collected in 2015. Participants were 142 nurses working in nine long-term care hospitals. The Ethical Issues in Clinical Practice Tool was used. Data analysis was performed using SPSS WIN 24.0. Results: The degree of experienced ethical issues was 1.23 out of 3, and 'Providing care with a possible risk to your health' was an ethical problem most frequently experienced in nurses. In addition, the ethical problem that the nurse most disturb was identified by 'Determining when death occurs'. The degree of needs for ethical education was 3.11 out of 4, and the highest ethical topic was 'Legal/ethical issues in the use of restraints'. Ethical issues and needs for ethical education were not statistically significant differences according to the characteristic of participants. Conclusion: In this study, we identified the ethical problems and necessity of ethics education experienced by nurses working in long-term care hospitals. The results of this study can be used as basic data for the development of customized ethical education contents for nurses in long-term care hospitals.

Clinical Characteristics of Young Patients with Lung Cancer (약년자 폐암 환자의 임상적 특성)

  • Kwak, Jin-Young;Kim, Kwi-Wan;Ryoo, Baek-Yeol;Choi, Sung-Joon;Kim, Young-Ho;Kim, Dae-Han;Son, Hyun-Bae;Lee, Jae-Chul
    • Tuberculosis and Respiratory Diseases
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    • v.51 no.6
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    • pp.550-558
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    • 2001
  • Background : It has been reported that younger patients with lung cancer have characteristic features that differ from those in older patients. The prognosis for young patients with this disease is controversial. This study aimed to determine the clinicopathological characteristics, the survival rate, and the risk factors associated with the overall survival rate in younger patients with lung cancer. Methods : The records of 120 young(age${\leq}40$) patients with histologically confirmed lung cancer in the Korea Caneer Center Hospital(KCCH) between Jan. 1992 and Dec. 1998 were retrospectively reviewed. Of 5,082 lung cancer patients registered at the KCCH from 1992 to 1998, 120 older(age>40) patients were randomly selected as the controls. Results : More female patients(45.0% vs. 20.0%, p<0.001) and more adenocarcinoma cases(64.2% vs.38.3%, p<0.001) were found in the younger group, when compared to the older patients. In NSCLC, advanced disease(stage IIIB and IV) was more common in the younger patients(90.2%) than in the older patients(62.7%) (p<0.001). The Median survival was 8.6 months in the younger patients and 12.2 months in the older(p=0.003). In a multivariate analysis, only the advanced-stage was an independent negative prognostic factor. Conclusions : Lung cancer in the younger age group presents with a more advanced stage resulting in a poor survival rate, which suggests that lung cancer in this population is more aggressive than in older patients.

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Development of an Measuring System for Pulse Wave Corresponding to Different Radial Artery Diameters Caused by Indentation (요골동맥 직경 변화에 따른 맥파 측정 시스템 개발)

  • Lee, Jeon;Woo, Young-Jae;Jeon, Young-Ju;Lee, Yu-Jung;Kim, Jong-Yeol
    • The Transactions of The Korean Institute of Electrical Engineers
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    • v.57 no.12
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    • pp.2351-2357
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    • 2008
  • Noninvasive radial artery pulse wave has been widely used not only for the pulse wave analysis(PWA) itself but also for assessment of arterial stiffness with estimated aortic pulse wave from peripheral pulse wave. However, it has been found that the deformation of pulse shape can be caused readily by changing measuring position, indentation pressure, and so on. So, in this study, we have developed a system which can measure radial pulse wave and skin displacement simultaneously while the indentation body goes down to occlude subject's radial artery. This system can be divided into a measuring apparatus part, an indentation control hardware part, a data acquisition part and a control and computation part. And, the measuring apparatus consists of an arm-rest, a step motor, an indentation body, a laser displacement sensor(LK-G30, Keyence Co.) and pulse wave sensor. Under load-free condition and radial artery loaded condition, the evaluation of developed system has been performed. From these results, we can conclude: 1) The developed system can control the indentation body quantitatively and the adopted laser displacement sensor shows linear output characteristic even with skin as a reflector. 2) This system can measure the pulse wave and the displacement of indentation body, that is, skin displacement simultaneously at each specific level of indentation body. 3) This system can provide the number of motor steps used to get down the indentation body, the measured skin displacement, the calculated indentation pressure, the calculated pulse pressure and the pulse waveform as well as the information generated by combining these with each others. 4) This system can reveal the relationship between the morphological changes of pulse wave and the estimated displacement of radial artery wall by indentation. Consequently, the developed system can furnish more abundant information on radial artery than previous diagnosis systems based on tonometric measurement. In further study, we expect to setup the standard measuring process and to concrete the algorithm for the estimation of radial artery's diameter and of displacement of radial artery's wall. Furthermore, with well designed clinical studies, we hope to turn out the usefulness of developed system in the field of cardiovascular system evaluation.

Characteristic of MED measurement Value of Trial Subjects from Ultraviolet Irradiation (자외선 조사 피험자의 MED 측정 값의 특성에 관한 연구)

  • Suk, Jang Mi;Park, Shin Young;Choi, Mi Ra;An, Song Yi;Kim, In Soo;Kim, Beom Joon;Park, Jin O;Jung, Sang Wook
    • Journal of the Society of Cosmetic Scientists of Korea
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    • v.39 no.3
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    • pp.251-257
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    • 2013
  • In this study, ultraviolet protection factor (Sun Protection Factor, SPF) was investigated to provide basic data for subject safety and research of ultraviolet (UV) irradiation test in the future. Trial subjects (395 people) of skin type I, II, and III were evaluated according to skin type standard table. After measuring the skin color using a colorimeter, ITA (Individual Typology Angle) value was calculated. Subjects with 28 and above ITA value were positioned comfortably to be UV irradiated for 60 s and erythema was evaluated 24 hours after application. MED (Minimal Erythema Dose) was investigated where the minimal amount of erythema existed among UVB irradiated area. Statistical analysis was investigated using Statistical Package the Social Sciences program. As a result, the darker skin color results in the higher MED value since the higher skin type number results increased MED value and female has higher MED value than male since female has darker skin type than male. There was no relation between MED difference by ages in all different ages. However, it is hard to draw a conclusion as above since the number of subjects were not sufficient to support statistical significance for MED values by different ages. However, MED values by skin types obtained through this study can be used as a standard when MED value is expected to evaluate efficacy of sunscreen product and as basic data for further safety of clinical researches.