• Title/Summary/Keyword: Damage symptoms

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Reduction of the Isolated Anterior Wall of the Maxillary Sinus Fracture with Double Urinary Balloon Catheters and Fibrin Glue

  • Kim, Jaehee;Yang, Ho Jik;Kim, Jong Hwan;Kim, Su Jin
    • Archives of Craniofacial Surgery
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    • v.18 no.4
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    • pp.238-242
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    • 2017
  • Background: Conservative treatment is performed for isolated anterior wall of the maxillary sinus fractures, in many cases when the fracture is clinically not severe and asymptomatic. Despite the absence of symptoms, complications such as sinusitis, rhinitis, and chronic purulent secretion may develop; therefore, successful reduction is required. We attempted to reduce the risk of complications using an alternative technique: reduction of the fracture with two urinary balloon catheters inserted through the maxillary ostium and fixation using fibrin glue, which minimizes the damage to the bony fragments and sinus mucosa. Methods: In this study, 38 patients who were diagnosed with an isolated anterior wall of the maxillary sinus fracture at our hospital between January 2014 and January 2017 were enrolled. The fracture site was exposed via the Caldwell-Luc approach followed by reduction through the insertion of two urinary balloon catheters using a nasal endoscope and fixation with fibrin glue. The sex, cause of fracture, physical examination, and presence of complications were examined and patient's medical records and facial bone computed tomography scans were analyzed. Results: Radiological evaluation showed that there was no evidence of collapsed reduction fragments. Although some patients had remaining symptoms of hypoesthesia (15%; 3 patients), there were no complications such as infection, rhinitis, sinusitis, and chronic purulent secretion at the surgical site. Conclusion: In this study, we present an alternative surgical technique using two urinary balloon catheters and fibrin glue for the successful reconstruction of an isolated anterior wall of the maxillary sinus fracture. This technique enables precise restoration with a reduced risk of complications.

Patterns of Nerve Conduction Abnormalities in Patients with Type 2 Diabetes Mellitus According to the Clinical Phenotype Determined by the Current Perception Threshold

  • Park, Joong Hyun;Won, Jong Chul
    • Diabetes and Metabolism Journal
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    • v.42 no.6
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    • pp.519-528
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    • 2018
  • Background: Clinical manifestations of diabetic peripheral neuropathy (DPN) vary along the course of nerve damage. Nerve conduction studies (NCS) have been suggested as a way to confirm diagnoses of DPN, but the results have limited utility for evaluating clinical phenotypes. The current perception threshold (CPT) is a complementary method for diagnosing DPN and assessing DPN symptoms. We compared NCS variables according to clinical phenotypes determined by CPT measurements. Methods: We retrospectively enrolled patients with type 2 diabetes mellitus who underwent both NCS and CPT tests using a neurometer. CPT grades were used to determine the clinical phenotypes of DPN: normoesthesia (0 to 1.66), hyperesthesia (1.67 to 6.62), and hypoesthesia/anesthesia (6.63 to 12.0). The Michigan Neuropathy Screening Instrument (MNSI) was used to determine a subjective symptom score. DPN was diagnosed based on both patient symptoms (MNSI score ${\geq}3$) and abnormal NCS results. Results: A total of 202 patients (117 men and 85 women) were included in the final analysis. The average age was 62.6 years, and 71 patients (35.1%) were diagnosed with DPN. The CPT variables correlated with MNSI scores and NCS variables in patients with diabetes. Linear regression analyses indicated that hypoesthesia was associated with significantly lower summed velocities and sural amplitudes and velocities, and higher summed latencies, than normoesthesia. Sural amplitude was significantly lower in patients with hyperesthesia than in patients with normoesthesia. Conclusion: NCS variables differed among patients with diabetes according to clinical phenotypes based on CPT and decreased sural nerve velocities was associated with hyperesthesia.

Infection of Wiches' broom (Taphrina weisneri) to the Prunus yedoensis along the 5.16 Road in Jeju Island (제주도 5.16도로 주변 왕벚나무 빗자루병 발병 실태)

  • Kim, Chang-Jo;So, In-Sup;Huh, Moo-Ryong
    • Journal of agriculture & life science
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    • v.43 no.3
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    • pp.1-6
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    • 2009
  • This study has been carried out to measure the extent of damage for Witches' broom of cherry trees planted as street trees along the 5.16 road around the Halla Mountain. This study is expected to provide effective measures to prevent the infection of witches' broom. Among the cherry trees examined, almost all the trees of 40 years or over were severely infected. Those around 30 years old were infected as well, though they showing medium level of disease symptoms. However, cherry trees of less than 23 years were observed to be healthy without showing any symptoms. Cherry trees spontaneously growing within 30m width of the 5.16 road in the section from Sanchondan to Kyunwolak were less severely infected by Witches' broom (Taphrima waesneri), though there was a difference by tree age.

Korean Guidelines for Diagnosis and Management of Interstitial Lung Diseases: Part 5. Connective Tissue Disease Associated Interstitial Lung Disease

  • Koo, So-My;Kim, Song Yee;Choi, Sun Mi;Lee, Hyun-Kyung;Korean Interstitial Lung Diseases Study Group
    • Tuberculosis and Respiratory Diseases
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    • v.82 no.4
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    • pp.285-297
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    • 2019
  • Connective tissue disease (CTD) is a collection of disorders characterized by various signs and symptoms such as circulation of autoantibodies in the entire system causing damage to internal organs. Interstitial lung disease (ILD) which is associated with CTD is referred to as CTD-ILD. Patients diagnosed with ILD should be thoroughly examined for the cooccurrence of CTD, since the treatment procedures and prognosis of CTD-ILD are vary from those of idiopathic interstitial pneumonia. The representative types of CTD which may accompany ILD include rheumatoid arthritis, systemic sclerosis (SSc), Sjogren's syndrome, mixed CTD, idiopathic inflammatory myopathies, and systemic lupus erythematous. Of these, ILD most frequently co-exists with SSc. If an ILD is observed in the chest, high resolution computed tomography and specific diagnostic criteria for any type of CTD are met, then a diagnosis of CTD-ILD is made. It is challenging to conduct a properly designed randomized study on CTD-ILD, due to low incidence. Therefore, CTD-ILD treatment approach is yet to been established in absence of randomized controlled clinical trials, with the exception of SSc-ILD. When a patient is presented with acute CTD-ILD or if symptoms occur due to progression of the disease, steroid and immunosuppressive therapy are generally considered.

Self-Exercise Oriented Management for Shoulder Pain Patient with Winging Scapular : Case Report (견갑골 익상을 동반한 어깨 통증 환자에 대한 자가 운동 중심의 관리: 사례 보고)

  • Jeon, Jae-guk;Jung, Min-keun
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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    • v.28 no.2
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    • pp.67-75
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    • 2022
  • Background: Scapular winging is a rare disorder that is commonly caused by nerve damage of the dorsal scapular nerve, spinal accessory nerve, or the long thoracic nerve. This affects the scapulohumeral rhythm which may cause abnormal kinetic motion of the shoulder. The purpose of this case report is to describe a self-exercise oriented management incorporating shoulder strengthening to reduce symptoms in a shoulder pain patient with winging scapular. Methods: A 45 year old male patient complained of pain in his both shoulders without any trauma. Shoulders were treated with steroid injections for supraspinatus tendonitis, but although pain improved to some extent, pain and disability continued for 3 months. Both shoulders had pain, decreased active range of motions, muscles weakness, and scapular winging. The patient underwent 9 interventional sessions over 3 months and was managed mainly by self-exercise. The intervention method involved push up plus, sling, muscle strengthening, and stabilization exercises. Loads were increased as symptoms improved. Results: Clinical outcomes were measured at every session. Pain in both shoulders reduced to 0 on a numerical pain rate scale by the 4th session, and the active range of motion was fully recovered. During the 9th session, the strength of the serratus anterior had improved from grade P to G on the right side and grade G to N grade on the left. Conclusion: In this case study, the self-exercise program was effective in reducing pain, increasing active range of motion, and improving muscle strength in subjects with scapular winging.

A Case Series of Dojeokganggi-tang for Hot flush in Soyangin Cold Pattern Patients (상열감을 호소하는 소양인의 도적강기탕 치험 3례)

  • Kukhwa Kim;Jieun Park;Hyojae Choi;Seul Lee;Han Chae;Jihwan Kim;Jeongyun Lee
    • Journal of Sasang Constitutional Medicine
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    • v.36 no.1
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    • pp.31-42
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    • 2024
  • Introduction This case series report an attempt to treat Sasang constitutional medicine on Soyangin patients with unspecified hot flush. Methods The patients in this case were diagnosed as Soyangin cold pattern and treated with herb medicine Dojeokgangi-tang. Treatment outcome was monitored retrospectively. Results Persistent hot flush significantly improved to normal levels in all 3 Soyangin patients, and 2 out of 3 showed the effect within 4 weeks, those with more chronic symptoms required more time. Discussion This study suggests the significance of Sasang constitutional medicine treatment in Soyangin patients with Hot flush. Additionally, the characteristics of patients with hot flush presented in this study were verified as meaningful diagnostics indicator of Soyangin lesser yang wind damage. Furthermore, it emphasizes the value of original symptoms as a standard for evaluating treatment effectiveness.

The Relationship between Pesticide Exposure and Central Nervous System Symptoms (농약 노출과 중추신경 증상과의 관련성)

  • Kwon, Young-Jun;Kang, Tae-Sun;Kim, Kyung-Ran;Lee, Kyung-Sook;Ju, Young-Su;Song, Jae-Chul
    • Journal of agricultural medicine and community health
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    • v.29 no.2
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    • pp.265-285
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    • 2004
  • Objectives: The acute toxic effects of pesticide are well known. Concern has also been expressed that long-term exposure may result in damage to the central nervous system. This study was conducted to test the hypothesis that central nervous system symptoms might occur due to pesticide exposure. Methods: In a cross-sectional study, first, cumulative exposure index (CEI) was estimated. Neurologic symptoms (Q-16 questionnaire) for 541 farmers (exposed to pesticides) were compared with 119 non-exposed persons in spraying season nine rural areas in Korea. Results: The pesticides poisoning rates for last 3 months were 67.2% for orchard farmers, 55.3%for dry field farmers, and 20.5% for husbandry farmers, respectively, showing significant difference (p<0.001). Compared with non-exposure group, exposure groups (especially, orchard farmers) reported significantly more neurologic symptoms and had a higher overall neurological symptoms score (p<0.001). Factors related to the positive neurological symptoms (answers "yes" to six or more of Q-16 questionnaire) adjusted for age, sex, education level, smoking and alcohol drinking were type of farming (OR 3.08, 95% CI 1.50-6.30 in orchard farmers vs non-exposure group), CEI (OR 2.75, 95% CI 1.12-6.78 in Q3 vs Q1), past poisoning (OR 1.97, 95% CI 1.21-3.20 vs normal), current mild poisoning (OR 3.03, 9500 CI 1.47-6.22 vs normal) and current moderate poisoning (OR 6.34, 95% CI 3.03-13.25 vs normal), respectively. Conclusions: These results suggest that long-term exposure to pesticides appears to be associated with subtle changes in the central nervous system.

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Growth Characteristics and Grain Quality of Naked Barley Infected by Barley Yellow Mosaic Virus (보리호위위병(BaYMV)이병에 따른 쌀보리 품종의 생육특성 및 품질)

  • 이중호;김양길;서재환;박종철;최재성;김수동
    • KOREAN JOURNAL OF CROP SCIENCE
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    • v.48 no.6
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    • pp.501-505
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    • 2003
  • The growth characteristics and damage of naked barley infected with barley yellow mosaic virus (BaYMV) were investigated between resistant and susceptible varieties in habitual field plot of BaYMV BaYMV of the barley plants with typical disease symptom were identified by enzyme linked immunosorbent assay (ELISA) test. The visual degree (0-9) based on disease symptoms of BaYMV was different as 9 and 1 between susceptible variety Baegdong and resistant variety Naehanssalbori, respectively. Susceptible variety, Baegdong showed significant damage in culm length, number of kernel per spike and tiller per square meter but not in 1,000 kernel weight, so these results caused yield reduction to only 80% comparing to the control. Seed germination did not affected by BaYMV infection both in susceptible and resistant variety. In grain quality test, abortive grain yale and crude protein content were significantly increased compared to the control. The relationships between BaYMV infection and growth characteristics showed the negative correlations in culm length, number of tiller, 1000 kernel weight and yield, but it showed the positive correlation in crude protein contents. These results implied that BaYMV can affect not only barley growth and yield but grain quality.

The Effects of Cadmium on the Growth of Mulberry Tree and Metabolic Activities in the Leaves (카드뮴의 處理가 桑樹의 生長 및 生體內 代謝에 미치는 影響)

  • Bae, Kae-Sun;Kim, Yong-Sang
    • Journal of Sericultural and Entomological Science
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    • v.25 no.1
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    • pp.27-33
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    • 1983
  • The study was carried out to examine effect of cadmium spraying on mulberry leaves on the growth and metabolism of mulberry tree.The results obtained were as follow:1. Brown spot were appeared on the leaves as the symptoms of damage and the damage was remarkable with higher concentration of cadmium.2. Higher concentration of Cd inhibited the length and diameter of mulberry branches with a significant difference (P<0.05) for the length. The growth of branch length in both 5 and 7 ppm treatment of Cd was inhibited by 31% compared with the control. 3. Cadimum concentration of mulberry barks was noticeably lower than that of leaves. 4. Cadimum concentration over 3ppm inhibited significantly chlorophyll content, activitsies of respiration, glutamic oxaloacetic transaminase (GOT), glutamic pyruvic transase (GPT) and adenocine triphosphate (APT). 5. The lowest concentration of cadmium was identified to be 3ppm to incur the inhibitory effect on the growth and metabolism of mulberry and cadmium content of mulberry leaves at the concentration was 13.86ppm.

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Degradation Phenomena of Wooden Pillars in the Main Hall of the Fengguo Monastery, Yixian, Liaoning, China - Scientific Investigation with XRD, IC, and FTIR Analysis -

  • Zhou, Yishan;Matsui, Toshiya;Liu, Cheng;Wang, Fei
    • Journal of Conservation Science
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    • v.36 no.1
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    • pp.15-27
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    • 2020
  • The Main Hall of the Fengguo monastery in Yixian county, Liaoning province, China, is the best preserved and largest wooden Buddhist structure, typical of the Liao dynasty style, in China. However, some degradation to the timber frame of the Main Hall has been noted, and this is causing concern in terms of the long-term preservation of the structure. In this study, wooden pillars showing the degradation phenomena of whitening, for areas in contact with the stone floor, and extensive surface damage at higher locations(mostly above 1 m) have been examined. Samples taken from wooden pillar surfaces were analyzed using X-ray powder diffraction, Fourier-transform infrared spectroscopy(FTIR), ion chromatography, and pH measurements. With respect to the whitening phenomenon, we found inorganic calcium precipitates and oxalate ions, along with higher pH values. These symptoms indicated that chemical changes were taking place in response to alkaline conditions, suggesting that alkaline mixtures with calcium content in the foundations may be responsible. Regarding the upper surface-damaged areas, no valid evidence for chemical degradation was found using FTIR analysis, while damaged areas exhibited the presence of more bat guano-related materials than which were apparent in undamaged areas. The occurrence of this surface-damaged phenomenon has therefore been attributed to physical damage caused by bat activity over long periods of time.