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Acute Malocclusion Related to Posterior Disc Displacement According to Complete Disc Tearing: Two Case Reports

  • Jo-Eun Park
    • Journal of Oral Medicine and Pain
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    • 제49권2호
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    • pp.29-34
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    • 2024
  • Acute malocclusion can occur in conditions related to temporomandibular joint (TMJ) disorders. This report presents two cases of acute malocclusion related to posterior disc displacement according to complete disc tearing. A 65-year-old male and an 88-yearold female presented with TMJ pain and occlusal discrepancies. Clinical examination, computed tomography, and magnetic resonance imaging revealed complete disc tearing and posterior displacement of a partial disc fragment. Dental cast analysis revealed a slight anterior and lateral deviation of the mandible toward the non-affected side; however, clinically, significant occlusal changes were not observed. This was attributed to the displacement of a small disc fragment rather than the entire disc. Including the cases presented, most instances of complete disc tearing responded well to conservative treatment such as pharmacotherapy and physical therapy, resulting in pain alleviation, and residual occlusal changes were tolerable for the patients in their daily activities. However, persistent occlusal changes or severe chewing difficulty may require surgical intervention.

응급의료센터로 전원된 환자의 진료의뢰서 표준화 및 충실도에 관한 연구 (A study on standardization & completion of transfer consultation record for patients transferred to emergency medical center)

  • 유순규;김광환;조혜경
    • 한국응급구조학회지
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    • 제5권1호
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    • pp.177-198
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    • 2001
  • The purpose of this research which was conducted by surveying the transfer consultation records from 360 medical institutions such as general hospitals, hospitals, clinics to the Emergency Medical Center at E University Hospital for six months(Jan. 1, 2000 - Jun. 30, 2000) are to standardize & complete transfer consultation record of hospitals at the 1st & 2nd referral level and to give patients transferred emergency medical center medical information services on a better quality. The conclusions and suggestions from this study were summarized as follows; (1) Examing the distribution of the referral medical consultation(transfer) sheet type, surgery part local clinic sheet types were 34.4%, medical part local clinic sheet types were 26.7%, undifferentiated local clinic sheet types were 23.9% and hospital level sheet types were 15.0%. (2) The items of the transfer consultation records had been standardized more than 75% in the order of patient's name, date, doctor's name, diagnosis, patient's status, impressions. (3) That the degree of recording completion on these items is in the order of patient's name, date, diagnosis, impressions was revealed. (4) Because the standardization and the degree of recording completion are very low in the patient's gender, age, address, electronic recording system was needed for more perfect input of initial patient informations. (5) This standardizing & complete recording on examination and medication will prevent re-examination and abuse of medication for patients transferred emergency medical center. (6) EMT Transfer System should be fixed in all medical institute for the standardizing & complete recording on care period and departure time will give many emergency patients the proper treatments at the proper time. (7) It was revealed that developing new standardized transfer consultation record & using electronic recording system are needed. (8) The complete recording & Fast Track System were needed for higher rate of bed operation at emergency medical center and more hospital profit.

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Hematological differentiation of bladder rupture and complete/partial urethral obstruction in castrated Hanwoo (Korean indigenous cattle) with urolithiasis

  • Young-Jun Kim;Seung-Min Ha;Ji-Yeong Ku;Ji-Seon Yoon;Jinho Park
    • Journal of Veterinary Science
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    • 제24권5호
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    • pp.62.1-62.7
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    • 2023
  • This case report describes the hematological and radiological examination of urinary bladder rupture and complete urethral obstruction. associated with urolithiasis in Hanwoo. Hyponatremia, hypochloremia, azotemia, and hyperglycemia were observed in both urethral obstruction and urinary bladder rupture. However, cattle with urethral obstruction showed hyperkalemia and mild hyperglycemia, whereas cattle with bladder rupture showed marked hyperglycemia and normal potassium levels. In ultrasonography, the urethral obstruction showed a dilated bladder with a thick bladder wall. In contrast to previous literature, in this study, severe electrolyte changes such as severe hyponatremia, hypochloremia, and hyperkalemia occurred in a case of complete urethral obstruction.

국가시험 보안업무의 발전적 방안연구 (A Study on Development of National Examination Security Service)

  • 하정훈
    • 시큐리티연구
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    • 제55호
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    • pp.75-95
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    • 2018
  • 본 연구는 국가시험 보안업무 관련분야 학위소지자와 국가시험 보안업무현장에서 출입관리 및 보안검색 등의 종합적인 보안업무를 수행하고 있는 현장전문가들이 현재 인지하고 있는 문제점들을 바탕으로 국가시험 보안업무 운영의 발전적인 방안을 모색하는 목적을 두고 있다. 이러한 연구의 목적을 위해서 관련분야 학위 소지자 5인과 경력 6년 이상의 현장전문가 7인에게 면담조사를 실시하여 자료를 분석하였다. 이들은 국가시험 보안업무운영의 발전적인 방안을 다음과 같이 제시하였다. 첫째, 국가시험 보안업무에 적합한 교육프로그램이 시행되어져야 한다. 둘째, 재난 및 응급상황 대처교육이 추가적으로 이루어져야 한다. 셋째, 국가시험 보안업무에 투입되어지는 요원들은 정신교육과 검색장비 및 첨단장비 관련 교육이 필요시 된다. 넷째, 경비업법에 국가시험 보안업무를 명시하여, 법규와 제도가 적극적으로 대응할 수 있도록 하여야 한다. 다섯째, 관계기관(계약상대방)은 용역비용을 재 산정 후 현실에 맞게 인상하여야 한다. 여섯째, 국가시험 보안업무에 경비원 신임교육을 이수한 경비원들이 투입되어질 수 있도록 하여야 한다.

누출액성 복수의 세포학적 검사로 진단된 림프종 1예 (A Canine Lymphoma Patient Diagnosed by the Cytologic Examination of Transudative Ascites)

  • 배보경;김채욱;최을수;이창우
    • 한국임상수의학회지
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    • 제21권2호
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    • pp.194-196
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    • 2004
  • A 12-year old neutered male Yorkshire terrier dog was presented to the Veterinary Medical Teaching Hospital of Seoul National University with a history of chronic intermittent diarrhea, vomiting, anorexia and weight loss of 2-months duration. On presentation, he was very cachexic and had ascites. Abnormal findings on a complete blood count and chemistry profile included mild anemia, leukocytosis, panhypoproteinemia, hypocholesterolemia, decreased blood urea nitrogen (BUN) and increased serum bile acids. Radiographic findings indicated microhepatica. Peritoneal fluid analysis was consistent with transudates (total protein < 2.5 g/dl, total nucleated cell count = 2,200/ul) and cytologic examination of the fluid revealed neoplastic lymphoblasts. From these findings hepatic dysfunction and protein-losing enteropathy were attributable to abdominal lymphoma. This case suggests that cytologic examination is important in diagnosing underlying diseases of ascites, even if it is transudative effusion.

중국산 샤페이 개에서 발생한 림프구성-형질구성 장염의 발생예 (Lymphocytic-Plasmacytic Enteritis (LPE) in Chinese Shar-Pei Dog)

  • 박희명;오태호;황철용;한홍율;윤순식
    • 한국임상수의학회지
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    • 제15권1호
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    • pp.203-208
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    • 1998
  • A two-year-old male Chinese Shar poi dog was admitted to the hospital because of chronic diarrhea. Abnormalities detected on physical examination were thickened intestinal loops and thin or cachexic body condition.4 complete blood count revealed a mild neutrophilia. The blood chemistry panel indicated no significant abnormalities. On proctoscopic examinations colonic mucosa was reddened and edematous. Numerous Iymphocytes, plasma cells and epithelial cells were observed in the cytologic examination of the rectal scraping.4 treatment was initiated with sulfasalazinei metronidazole and prednisolone and dietary management with rice and cottage cheese was performed simultaneously. Although antibiotic therapy and dietary management were donee the dog's condition deteriorated and died suddenly. Lymphocytic-plasmacytic enterocolitis was diagnosed by postmortem pathologic examination.

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A rare development of tumoral calcinosis of the ear auricle

  • Lee, Sam Yong;Lee, Han Gyeol;Kim, Kwang Seog;Hwang, Jae Ha
    • 대한두개안면성형외과학회지
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    • 제19권4호
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    • pp.287-290
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    • 2018
  • Tumoral calcinosis is a condition characterized by deposition of calcium salts in the skin and subcutaneous tissue, commonly found around the joints. However, tumoral calcinosis of the auricle is extremely rare. We present the case of a 13-year-old boy with tumoral calcinosis of the helix of the ear auricle. A 13-year-old boy presented with a 10-year history of an enlarging mass on the left auricle. The mass was hard, non-tender, and non-compressible. The patient had no history of trauma. Complete surgical excision and pathological examination of the specimen was performed. The final diagnosis of the excised mass was tumoral calcinosis. After 9 months of follow-up, there were no signs of recurrence of the tumor and the patient was satisfied with the surgical results. Tumoral calcinosis of the auricle is extremely rare and may be misdiagnosed as other tumors. Pathological examination is essential for definitive diagnosis and complete surgical excision should be considered as the treatment of choice.

실험적 방광염 유발 토끼에서의 초음파 및 방사선학적 연구 (Ultrasonographic and radiographic study on experimental cystitis in rabbit)

  • 성재기;장동우;윤정희
    • 대한수의학회지
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    • 제36권4호
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    • pp.973-990
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    • 1996
  • To investigate diagnostic imaging of cystitis and to apply it to the small animal practice, ultrasonogram of urinary bladder with moderate distension(4ml/kg) and with complete distension(9ml/kg) to evaluate the irregularity and thickness of bladder, radiography and histopathological examination were performed after experimental cystitis induction. On double contrast cystography, mucosal membrane of the urinary bladder was smooth and thickening urinary bladder wall was not found before cystitis induction. At 3rd day post induction(PI), mucosal irregularity was noted at the cranioventral region of the urinary bladder. Thickening of the urinary bladder wall and filling defect was observed as well. Cystographic findings of 7, 10, 15, 21 day PI were similar to that of 3rd day PI. On ultrasonographic findings of the mural thickness in induction group, it was ascertain that the mural thickness with moderate distention was more thickened than with complete distention at transverse scan. Ultrasonographic findings at longitudinal scan were similar to those of transverse scan. On ultrasonographic findings of mucosal irregularity in induction group, from PI to 7 day PI, mucosal irregularity with moderate distention was more irregular than mucosal irregularity with complete distention. At 10 day PI, there was similarity between moderate distention and complete distention. On histopathologic examination of a section of urinary bladder taken 3 day PI, the mucosal and submucosa were infiltrated by a mixture of thick inflammatory exudate which was composed of neutrophil, plasma protein, bacterial colony and necrotic cells. Congestion, hemorrhage and edema were also observed in the submucosa. At 7th day PI, the mucosal change was similar to that of 3rd day PI, but neovascularization and fibroplasia were observed in the submucosa. At 15th and 21th day PI, mild hyperplasia of mucosal epithelium was observed in the mucosa. Deposition of collagen, neovascularization and severe diffuse infiltration of lymphocyte were observed. These results suggest that ultrasonographic examination with moderate distention is considered to be a more simple, rapid, noninvasive, sensitive and useful diagnostic method than other diagnostic methods for the diagnosis of the cystitis and the differential diagnosis of urinary tract infection.

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한국 노인의 치과보철 상태에 따른 건강 관련 삶의 질에 관한 연구 (A study of the EQ-5D index according to the dental prostheses status of the elderly in Korea)

  • 황홍구;이종화
    • 대한치과기공학회지
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    • 제43권1호
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    • pp.19-28
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    • 2021
  • Purpose: This study aimed to obtain basic data on oral health improvement by investigating the EQ-5D index according to the oral prosthesis status of elderly persons aged 65 years or older in Korea using the Seventh Korea National Health and Nutrition Examination Survey. Methods: In this study, 3,426 elderly persons aged 65 years or older were included to analyze the relationship between the dental prostheses status and EQ-5D index in the collected data. Results: Compared to the "complete denture" in oral prosthesis, EQ in case of no dental prostheses or fixed dental prostheses is comparable to removable prosthetics such as "no dental prostheses," "one fixed bridge," and "two or more fixed bridges." Removable partial denture and complete denture required for the maxillary and mandibular EQ-5D index were significantly higher in "not necessary" than in "complete denture necessary" in all the elderly persons. Conclusion: The condition of the dental prosthesis and the need for a removable partial denture and complete denture for the elderly's EQ-5D index were confirmed, and it was found that the fixed dental prostheses were more effective than the removable dental prostheses. Therefore, oral health education programs for the elderly should be developed to promote dental function and oral health maintenance.

건강한 Thoroughbred 신생망아지의 혈액상 (The Reference Values on Hematologic Parameters in Clinically Normal Thoroughbred Neonatal Foals)

  • 양재혁;윤영민;이경갑;임윤규
    • 한국임상수의학회지
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    • 제28권4호
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    • pp.365-368
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    • 2011
  • Next to performing an expert physical examination, a blood sample submitted for a complete blood count is the most basic tool available to owners or veterinary practitioners. Reference values of complete blood count were determined at 6 different ages in 114 Thoroughbred foals during the second month of life. Hematologic results were as follows: RBC 8.2-10.5 ($10^6/{\mu}l$), Hb 10.9-13.3 (g/dl), HCT 28.2-35.2 (%), MCV 30.7-35.8 (fL), MCH 11.9-13.5 (pg), MCHC 37.9-40.5 (g/dl), RDW 24.5-25.7 (%), PLT 146.3-256.4 ($10^3/{\mu}l$), MPV 6.7-8.3(fL), total WBC 8.1-12.5 ($10^3/{\mu}l$), basophils 0.0 ($10^3/{\mu}l$), eosinophils 0.0-0.3 ($10^3/{\mu}l$), neutrophils 2.4-8.6 ($10^3/{\mu}l$), lymphocytes 1.8-2.9 ($10^3/{\mu}l$) and monocytes 0.0-1.4 ($10^3/{\mu}l$). The results of this study serve as reference ranges for Thoroughbred neonatal foals populations and can be useful for health control, regular examination and pre-sale soundness examination.