• 제목/요약/키워드: Difficulty in breathing

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Cervicomediastinal cystic hygroma: report of a case (경부 및 상부종격동에 발생한 낭상임파관종 1례)

  • 서충헌
    • Journal of Chest Surgery
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    • v.13 no.4
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    • pp.503-506
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    • 1980
  • A 37 year old male patient was suffered from severe labored breathing caused by post tracheostomy stenosis, which was localized at the mediastinal trachea [cuffed tracheal stenosis] and ranged 1.5 cm in length and approximately 3 ram. in diameter on tracheogram. After dilation of tracheal stenosis with dilator, endotracheal intubation was tried for induction of anesthesia and control of respiration during operation. A tube was placed just beyond the tracheal stenosis without respiratory difficulty. Under the endotracheal anesthesia, circumferential resection of the mediastinal trachea containing the stenosis, approximately 2 cm in length [4 tracheal rings}, was carried out and primary direct end to end anastomosis was performed with interrupted submucosal sutures [3-0 Dexon] and mobilization of trachea Postoperative tracheostomy was not performed. The patient was completely relieved from dyspnea immediately after operation. Post-operative convalescence was entirely uneventful and at present, about 3 months after operation, he is now conducting a usual life. From the literature and our experience, the etiology and treatment of post-tracheostomy stenosis were discussed.

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A Study of Queen Inhyun's death through the Clinical Records in Seungjeongwon Ilgi (인현왕후의 발병에서 사망까지 "승정원일기"의 기록 연구)

  • Pahng, Sung-Hye;Cha, Wung-Seok
    • Korean Journal of Oriental Medicine
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    • v.18 no.1
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    • pp.1-11
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    • 2012
  • The objective of this article is to investigate from what kind of disease Queen Inhyun(仁顯王后) died through the clinical records written in Seungjeongwon Ilgi("承政院日記"). The method to do this study was to search the records of Seungjeongwon Ilgi("承政院日記") from Sukjong 26th year to 27th year on the website databased and serviced by National Institute of Korean History. The results was as follows. According to the website search, Queen Inhyun(仁顯王后) suffered from purulent coxarthritis for one and a half year. As time passed by, the lesion of disease spread to her abdomen and heart. Finally, she died of difficulty in breathing.

A Case of Pulmonary Mycobacterium kansasii Disease Complicated with Tension Pneumothorax

  • Boo, Ki Yung;Lee, Jong Hoo
    • Tuberculosis and Respiratory Diseases
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    • v.78 no.4
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    • pp.356-359
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    • 2015
  • Pneumothorax is an extremely rare complication of non-tuberculous mycobacterial infection. A 52-year-old man presenting with difficulty breathing and chest pain was admitted to our hospital. A right-sided pneumothorax was observed on chest radiography and chest computed tomography showed multiple cavitating and non-cavitating nodules with consolidation in the upper to middle lung zones bilaterally. Serial sputum cultures were positive for Mycobacterium kansasii, and he was diagnosed with pulmonary M. kansasii disease complicated by tension pneumothorax. After initiation of treatment including decortications and pleurodesis, the patient made a full recovery. We herein describe this patient's course in detail and review the current relevant literature.

A Case of Granulation Tissue of the Tongue in Infant (영아의 혀에 발생한 육아조직 1례)

  • Lee, Hee-Jung;Yun, Eun-Sil;Choi, Joon-Hyuk;Choi, Kwang-Hae
    • Journal of Yeungnam Medical Science
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    • v.22 no.2
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    • pp.247-252
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    • 2005
  • Tongue tumors of pediatric patients are the most common soft tissue tumor of pediatric oral and maxillofacial tumors. There are many kind of pediatric tongue lesions such as hemangioma, lymphangioma, papilloma, and cyst. Most of these lesions are benign, but malignant tumors of tongue may be occurred. Therefore, malignancy should be ruled out. Sometimes, tongue lesions are present with dyspnea, dysphagia, dysarthria, bleeding, or cosmetic problem. We experienced a case of chronic inflammatory mass on posterior 1/3 of the tongue in 4 month old female patient. Swallowing difficulty and respiratory distress symptom occurred because of tongue mass effect. The tongue mass was confirmed as granulation tissue by microscopic examination. After excision of tongue mass, she had no problem with swallowing and breathing.

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Multimodal Treatment of Poorly Differentiated Tracheobronchial Carcinoma in a Persian Cat

  • Park, Yohan;Song, Kunho
    • Journal of Veterinary Clinics
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    • v.39 no.2
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    • pp.87-92
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    • 2022
  • A 14-year-old castrated male Persian cat presented with a 2-week history of respiratory difficulty. On physical examination, the patient showed intermittent open-mouth breathing and thoracic auscultation revealed wheezing. Thoracic radiographs revealed a narrowed upper airway and pulmonary infiltration. Computed tomography detected a mass occluding the lumen of the trachea at the level of the entrance to the thorax, a mass causing right main bronchus stenosis, and a nodule on the right caudal lung lobe. Bronchoalveolar lavage cytology tentatively diagnosed a carcinoma. Tracheal mass resection was performed through tracheostomy. Histopathology confirmed the presence of tracheobronchial carcinoma. The survival time after diagnosis was 10 months, during which time the cat underwent tracheostomy, debulking by endotracheal tube, and tracheal stent placement procedures in combination with toceranib phosphate adjuvant chemotherapy.

Treatment of Snoring and Obstructive Sleep Apnea with Dental Orthosis (구강내 장치를 이용한 코골이 및 폐쇄성 수면무호흡증의 치료효과)

  • 안홍균
    • Journal of Oral Medicine and Pain
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    • v.22 no.2
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    • pp.383-394
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    • 1997
  • The purpose of this study was to examine the anatomic changes in the upper airway with a dental orthosis. the effectiveness and side effects of orthosis in the treatment of snoring and obstructive sleep apnea. To meet this puppose a dental orthosis, designed to increase the size of the upper airway by advancing the mandible, was used in 42 patients (30 M, 12 F), aged 29 - 69 years, to treat snoring and varying decrees of obstructive sleep apnea. Cephalometric study of anatomic featured was made with and without a dental orthosis, and the evaluation of the effectiveness and side effects of orthosis was done by questionnaires. The obtained results were as follows : 1. All subjects were habitual snorers and 32 patients comp1ained the loudness of snoring as severe as be heard outside of the patient's room. 2. According to the degree of respiratory distirbance index(RDI) and aprea index(Al) from the polysomnograph in 34 patient, mild obstructive sleep apnea patients were 5, moderate 6 and severe 16. 3. Various anatomic changes in the upper airway with denta1 orthosis were as follows : (1) More superioly positioned hyoid bone ( p<0.001) (2) Enlarged oropharyngeal (superior p<0.01, middle p<0.01. inferior p<0.01) and hypopharyngeal (P<0.05) airway space. 4. According to the results of the changes of clinical syptoms after the usage of the dental orthosis acquired from questionnaires, there was significant improvement in the frequently, the loudness and the severity of snoring, cessation of breathing and awakening from the difficulty of breathing during sleep. 5. The effectiveness and side effects of dental orthosis by questionnaires were as follows ; (1) Dental orthosis satisfied almost all the patients (68±20%). (2) Snoring was improved in all the patients (73±19%). (3) Obstructive sleep aphea was improved in all the patients (61 ± 37%) (4) Sleepiness in the daytime was significantly improved (61 ±37%). (5) The sleep quality was significantly improved (61±37%). (6) The discomfort of the dental orthosis was minor (33±18%) and no serious complications were observed. 6. The dental orthosis is an effective treatment for the symptom of snoring, and it can also effectively treat varying degrees of obstructive sleep apnea.

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Electrocution caused by a fallen electric wire in Korean native cattles

  • Bae, You-Chan;Lee, Kyung-Hyun;Yoon, Soon-Seek;Heo, Jung-Ho;Lee, O-Soo
    • Korean Journal of Veterinary Research
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    • v.48 no.2
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    • pp.219-221
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    • 2008
  • We report the electrocution of Korean native cattle by a fallen electric wire, which caused the death of thirteen animals. The owner of the cattle felt an electric shock on touching the steel pen and found a fallen 220-V wire on the roof of the barn; additionally, the roof was singed. Clinically, the animals developed spasm, difficulty breathing, and excessive salivation. Histopathologically, many visceral organs revealed severe congestion or hemorrhage, which is consistent with previous reports. This study revealed that the proper installation of electric wires on farms is essential to prevent economic loss by electrocution.

Evaluation of the Relationship between Filter Replacement and Filter Performance Change in Particulate Respirators (방진 마스크 필터 교체와 성능 변화의 상관성 조사)

  • Lee, Heonyung;Park, Jihoon;Yoon, Chungsik
    • Journal of Korean Society of Occupational and Environmental Hygiene
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    • v.27 no.4
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    • pp.283-290
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    • 2017
  • Objectives: This study aimed to evaluate the relationship between filter replacement and filter performance change in particulate filters used in the workplace. Methods: Three types of particulate respirator filters are mainly used in the workplaces. These were tested against the filter performance safety certification standard for dust masks established by the Ministry of Employment and Labor(MoEL). Used filters were collected to test their performance, such as filter pressure drop, efficiency, and quality factors. All these factors were evaluated by a filter tester. To compare filter performance between used and new ones, the same kinds of new filters were also tested together under the same procedures. Results: A total of 270 used filters were collected for testing. The main reasons to replace the filters were difficulty in breathing(46.2%), dirty/odor influx(19.7%), and a combination of factors(26.7%). The pressure drop for two special class groups was significantly different(new filters: $20.72{\pm}3.33mmH_2O$; used filters: $24.70{\pm}5.26mmH_2O$, p<0.0001). In the case of penetration, new filter groups indicated $0.0032{\pm}0.0040%$, while that of the used filters was $0.0596{\pm}0.1187%$. The quality factor for the used filters($0.34{\pm}0.09$) significantly decreased compared to the new filters($0.53{\pm}0.08$) (p<0.0001). Conclusions: Filter performance including pressure drop, penetration, and the quality factor was evaluated and compared between new and used filters in the workplace. The results showed that general filter performance deteriorated more for change of pressure drop, penetration and the quality factor.

Sleep Monitoring by Contactless in daily life based on Mobile Sensing (모바일 센싱 기반의 일상생활에서 비접촉에 의한 수면 모니터링)

  • Seo, Jung-Hee
    • The Journal of the Korea institute of electronic communication sciences
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    • v.17 no.3
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    • pp.491-498
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    • 2022
  • In our daily life, quality of sleeping is closely related to happiness index. Whether or not people perceive sleep disturbance as a chronic disease, people complain of many difficulties, and in their daily life, they often experience difficulty breathing during sleep. It is very important to automatically recognize breathing-related disorders during a sleep, but it is very difficult in reality. To solve this problem, this paper proposes a mobile-based non-contact sleeping monitoring for health management at home. Respiratory signals during the sleep are collected by using the sound sensor of the smartphone, the characteristics of the signals are extracted, and the frequency, amplitude, respiration rate, and pattern of respiration are analyzed. Although mobile health does not solve all problems, it aims at early detection and continuous management of individual health conditions, and shows the possibility of monitoring physiological data such as respiration during the sleep without additional sensors with a smartphone in the bedroom of an ordinary home.

Association between Subjective Distress Symptoms and Argon Welding among Shipyard Workers in Gyeongnam Province (경남소재 일개조선소 근로자의 건강이상소견과 아르곤 용접과의 관련성)

  • Choi, Woo-Ho;Jin, Seong-Mi;Kweon, Deok-Heon;Kim, Jang-Rak;Kang, Yune-Sik;Jeong, Baek-Geum;Park, Ki-Soo;Hwang, Young-Sil;Hong, Dae-Yong
    • Journal of Korean Society of Occupational and Environmental Hygiene
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    • v.24 no.4
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    • pp.547-555
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    • 2014
  • Objective: This study was conducted to investigate the association between subjective distress symptoms and argon welding among workers in Gyeongnam Province shipyard. Method: 31 argon and 29 non-argon welding workers were selected as study subjects in order to measure concentrations of personal dust, welding fumes and other hazardous materials such as ZnO, Pb, Cr, FeO, MnO, Cu, Ni, $TiO_2$, MgO, NO, $NO_2$, $O_3$, $O_2$, $CO_2$, CO and Ar. An interviewer-administered questionnaire survey was also performed on the same subjects. The items queried were as follows: age, height, weight, working duration, welding time, welding rod amounts used, drinking, smoking, and rate of subjective distress symptoms including headache and other symptoms such as fever, vomiting and nausea, metal fume fever, dizziness, tingling sensations, difficulty in breathing, memory loss, sleep disorders, emotional disturbance, hearing loss, hand tremors, visual impairment, neural abnormality, allergic reaction, runny nose and stuffiness, rhinitis, and suffocation. Statistical analysis was performed using SPSS software, version 18. Data are expressed as the mean ${\pm}SD$. An ${\chi}^2$-test and a normality test using a Shapiro wilk test were performed for the above variables. Logistic regression analysis was also conducted to identify the factors that affect the total score for subjective distress symptoms. Result: An association was shown between welding type (argon or non-argon welding) and the total score for subjective distress symptoms. Among the rate of complaining of subjective distress symptoms, vomiting and nausea, difficulty breathing, and allergic reactions were all significantly higher in the argon welding group. Only the concentration of dust and welding fumes was shown to be distributed normally after natural log transformation. According to logistic regression analysis, the correlations of working duration and welding type (argon or non-argon) between the total score of subjective distress symptoms were found to be statistically significant (p=0.041, p=0.049, respectively). Conclusion: Our results suggest that argon welding could cause subjective distress symptoms in shipyard workers.