• Title/Summary/Keyword: History taking

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A Case of Transpalpebral Enucleation in Shih-tzu with Chronic Unilateral Glaucoma (편측성 만성 녹내장을 지닌 Shih-tzu의 안구적출술 치유예)

  • 정순욱;정월순
    • Journal of Veterinary Clinics
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    • v.16 no.1
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    • pp.203-209
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    • 1999
  • A 4-year-old female Shih-tzu with severe episcleral congestion and buphthalmos in left eye was referred to the Veterinary Teaching Hospital, Chonnam National University in October 1998. During two months in local veterinary clinics, the dog had been treated unsuccessfully with tarsorrhaphy and antibiotics. By history taking, cause of the glaucoma was ascertained as accidental nonpenetrated cornea trauma by owner, Ophthalmic examination revealed that the left eye was buphthalmic with severe episcleral congestion, pain and fever. The direct pupillary light response could not be evaluated in the left eye, but right eye had normal reaction. The intraocular pressure was 4.5 mmHg in the right eye and 33 mmHg in the left eye, as measured with a Schiotz tonometer, Ultrasonographic finding revealed hyperechoic vitrous body and central echofree material. The Schirmer tear test showed 20 mm in the left eye and 8 mm in the right eye. The hematologic examination revealed monocytosis. The initial medical treatment was admitted, but there was no response. Transpalpebral enucleation in the left eye under inhalation anesthesia with enflurane 1.2 vol% in oxygen was performed. The day after operation the left eye ravealed no exudate, and pain, and the systemic vital signs were normal. The prognosis is excellent.

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Surgical Treatment of Cervical Salivary Mucocele in a Pit Bull Terrier (피쁠견에서 경추타액점액류의 외과적치료)

  • 정순욱;정월순;박수현
    • Journal of Veterinary Clinics
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    • v.16 no.1
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    • pp.210-213
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    • 1999
  • A 15 months old male pit bull terrier was shown submandibular swelling, which was extended from left submandibular area through mandibular symphysis to right submandibular area and toward around left neck. In history taking, recurrence of swelling was recorded after conservative surgical incision, drainage and dressing. Palpation revealed no pain and heating, partial flutuation and hardness. By paracentesis, it was showed blood-tinged tenacious exudate without bad-smelling. Left submandibular salivary gland was able to be movable freely and the size decreased to half of that of right submandibular salivary gland. It was diagnosed as cervical salivary mucocele. In operation, rostral portion of left sublingual salivary gland was observed to be damaged transversely, showed black color and leaked saliva. Submandibular gland and rostral portion of sublingual salivary gland were resected, after ligation of ducts of submandibular and sublingual salivary glands. At 15 days postoperation, serosanguineous exudate from operation wound was dramatically decreased and stable granulation tissue mass at this area was first palpated. At 39 days after operation, outline of left and right mandibular was appeared normal and skin tenderness of mandibular area was equal to that of the other body wall.

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THE STATISTICAL STUDY OF PREVALENCE OF CONGENITAL DENTAL ANOMALIES THROUTH DENTAL ROENTGENOGRAPHIC FINDINGS. (X-선상에 의한 선천성 치아이상의 발생빈도에 관한 통계학적 연구.)

  • Choi, Seon-Ok;Lee, Jong-Gap
    • Journal of the korean academy of Pediatric Dentistry
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    • v.7 no.1
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    • pp.85-93
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    • 1980
  • This study was undertaken in order to observe the prevalence of congenital dental anomalies especially that of oligodontia and supernumerary teeth in 1024 children at age from 4 to 14 years, through history taking, oral examinations, roentgenographic observations of subjects, and statistic analysis was made. The following results were obtained: 1. The prevalence of oligodontia in 1024 children was $6.45{\pm}.8$ percent with a total of 122 teeth absent in sixty-six subjects, excluding 3rd molars, and most of children (86.4%) who have congenitally missing teeth showed abscence of one or two teeth individually. 2. The teeth most frequently absent were the mandibular second premolar, maxillary second premolar, maxillary lateral incisor, mandibular central incisor, and mandibular lateral incisor in order. 3. There was no statistically significant difference found in tooth abscence in the following comparisons; .Male vs Female .Bilateral vs Unilateral .Maxilla vs Mandible .Right vs Left 4. The prevalence of supernumerary teeth in 1024 children was $4.79{\pm}.67$ percent with a total of 59 supernumerary teeth in forty-nine subjects, all of children who have supernumerary teeth showed one or two supernumerary teeth individually. 5. Statistically significant difference was found in supernumerary teeth in the comparison of male vs female, and they were more frequent in male.

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Development of Efficient Order Communication and Pharmacy Supporting System for Traditional Korean Medicine (효율적인 한의 처방조제지원시스템 개발)

  • Kim, Chul;Kim, Sang-Kyun;Jang, Hyun-Chul;Kim, An-Na;Kim, Ik-Tae;Song, Mi-Young
    • Korean Journal of Oriental Medicine
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    • v.16 no.3
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    • pp.127-133
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    • 2010
  • The purpose of this study is to develop the order communication system for Traditional Korean Medicine(TKM) which can support prescribing decisions and provide the toxicological information. The relative vulnerability of the infrastructure of TKM has made us start the study. We carried out the benchmarking for TKM charting solution firstly, and then designed the intelligent search and supporting method for prescription decisions. We developed of the medical herbs database and the web-based order communication program which can be used in medical field actually. This system supplies a various functions to oriental medical doctors such as management for prescription history, search for herb's effects, generating prescriptions, inventory management, alerting of toxicity and taboo, guideline for taking medicine, and so on. The design and implementation process has been described in this research. We expect that this system will play an important role in electronic medical record(EMR) or electronic health record(EHR) binding diagnosis and management functions.

A Study on Some Attentiveness for Effective Application of CISG (CISG의 효과적인 활용을 위한 몇 가지 유의점)

  • Oh, Se-Chang
    • THE INTERNATIONAL COMMERCE & LAW REVIEW
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    • v.26
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    • pp.3-34
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    • 2005
  • This thesis is in focus on keeping int'l businessman in mind application of CISG to perform smoothly in the their oversea's trade in accordance with taking effect on ratification of it from first, March, 2005. First of all, they have to keep in mind that it is possible to fall within the sphere of application of CISG of their contracts made between parties whose places of business are in different countries or although they have their places of business in different contracting states, if rules of private int'l law imply or express to the application of law of contracting state. Therefore in order to avoid confusion about whether apply or not, it is necessary to customize application of CISG as a proper law of their contracts. If so, they can avoid problem of requirements as to forms and any other requirement as to forms. Secondly they must attend the use of the legislative history of CISG and the use of the int'l case law and various scholarly thesises that studied on CISG such as information of Institute of Int'l Commercial Law under School of Law, PACE University. If so, problems which can give a rise in connection with interpretation of a basic and important terminology of CISG will be successfully conquest. In addition to above mentioned attentiveness, they must keeping in mind that various problems in connection with application of provisions of CISG can give their oversea's business a obstacle. buy the way of precaution against this case, they have to collect and analyze various materials about CISG.

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Diagnosis and Treatment of Acute Ankle Sprain (족관절 급성 염좌의 진단과 치료)

  • Byun, Chu-Hwan;Chung, Jin-Wha
    • Journal of Korean Foot and Ankle Society
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    • v.19 no.3
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    • pp.81-85
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    • 2015
  • Acute sprain of the ankle requires comprehensive history taking and physical examination in diagnosing the type of severity and deciding on the plan of treatment. Literature supports functional treatment as the treatment of choice for grade I and II injuries. During the acute phase, the goal of treatment focuses on controlling pain and swelling. PRICE (protection, rest, ice, compression, and elevation) is a well-established protocol at this phase. There is some evidence that application of ice and use of nonsteroidal anti-inflammatory drugs improves healing and speeds recovery. Then the functional treatment (motion restoration and strengthening exercises) is administered to progress the rehabilitation appropriately in order to facilitate healing and restore the mechanical strength and proprioception. Early mobilization has been shown to result in more rapid return to work and daily activities than immobilization. Grade III injuries still generate controversy in terms of the best management available, and more studies on early mobilization, cast immobilization, or surgery are needed. Even the Cochrane reviews published to date are not conclusive.

Experimental Analysis on Barrel Zoom Module of Digital Camera for Noise Source Identification and Noise Reduction (실험적 방법을 이용한 디지털 카메라 경통 줌 모듈의 소음원 규명 및 저소음화)

  • Kwak, Hyung-Taek;Jeong, Jae-Eun;Jeong, Un-Chang;Lee, You-Yub;Oh, Jae-Eung
    • Transactions of the Korean Society for Noise and Vibration Engineering
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    • v.21 no.11
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    • pp.1074-1083
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    • 2011
  • Noise of digital camera has been noticeable to its users. Particularly, noise of a barrel assembly module in zoom in/zoom out operation is recorded while taking a video. Reduction of barrel noise becomes crucial but there are not many studies on noise of digital camera due to its short history of use. In this study, experiment-based analyses are implemented to identify sources of noise and vibration because of complexity and compactness of the barrel system. Output noise is acquired in various operation conditions using synchronization for spectral analysis. Noise sources of a barrel assembly in zoom operating are first identified by the comparison with gear frequency analysis and then correlation analysis between noise and vibration is applied to confirm the generation path of noise. Analysis on noise transfer characteristic of zoom module is also carried out in order to identify the most contributing components. One of possible countermeasures of noise in zoom operating is investigated by an experimental approach.

Clinical Experience of Pulmonary Embolism after Coverage of Pressure Sore (압박 궤양 수술 후 발생된 페색전증 치험례)

  • Seo, Sang Woo;Lee, Won Jai;Tark, Kwan Chul
    • Archives of Plastic Surgery
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    • v.32 no.4
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    • pp.543-546
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    • 2005
  • Pulmonary embolism is a one of the major cause of postoperative death. Surgery predisposes patients to pulmonary embolism, even as late as one month after the operation. The accurate detection of pulmonary embolism remains difficult, and the differential diagnosis is extensive. The prevention of pulmonary embolism is thus of paramount importance. We report a case of pulmonary embolism after coverage of pressure sore on the left ischium on the 8th day after operation. The patient was 60 years old, a severe smoker, in the high quantity of body mass index and had hypertension. The risk factors are 60 years of age or older who were in the highest quantity of body mass index. Heavy cigarette smoking and high blood pressure are also identified as risk factors. Plastic surgeons should keep the probability of pulmonary embolism development after operation in mind. When taking history, the risk factors should be checked certainly. The immobilization may explain the probability of pulmonary embolism development. Therefore absolute bed rest or positional maintenance should be avoided. Until recently, low molecular weight heparin has been used for preoperative prophylaxis. Plastic surgeons should be concerned in low molecular weight heparin for prophylaxis of the pulmonary embolism and study the indications and effectiveness in liposuction or abdominoplasty.

A Case of Wooden Foreign Body Misinterpreted as Facial Abscess and Osteitis (안면부 농양 및 골염으로 오인된 나무 이물 1례)

  • Kim Eun-Seo;Kim Young-Chul;Kim Sok-Chon;Hong Seok-Chan
    • Korean Journal of Head & Neck Oncology
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    • v.16 no.2
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    • pp.235-237
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    • 2000
  • It is difficult to find the penetrating foreign bodies in the head and neck area only with history taking and physical examinations. One of the most important things is to detect the precise location of foreign bodies or possibly remained materials. The detection of wooden foreign bodies is important because they can cause phlegmon formation and because wood is often contaminated by Clostridium tetani bacteria. CT has proved to be an expedient method for detecting foreign bodies of various materials in soft tissues, but the wooden foreign body is often misinterpreted as a gas bubble in soft tissue. We have experienced a case of wooden foreign body which has penetrated through nasal dorsum and remained for 4 months. It had been initially misinterpreted as longstanding inflammatory lesion and osteitis of maxilla and nasal bone.

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Bridge-vehicle coupled vibration response and static test data based damage identification of highway bridges

  • Zhu, Jinsong;Yi, Qiang
    • Structural Engineering and Mechanics
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    • v.46 no.1
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    • pp.75-90
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    • 2013
  • In order to identify damage of highway bridges rapidly, a method for damage identification using dynamic response of bridge induced by moving vehicle and static test data is proposed. To locate damage of the structure, displacement energy damage index defined from the energy of the displacement response time history is adopted as the indicator. The displacement response time histories of bridge structure are obtained from simulation of vehicle-bridge coupled vibration analysis. The vehicle model is considered as a four-degree-of-freedom system, and the vibration equations of the vehicle model are deduced based on the D'Alembert principle. Finite element method is used to discretize bridge and finite element model is set up. According to the condition of displacement and force compatibility between vehicle and bridge, the vibration equations of the vehicle and bridge models are coupled. A Newmark-${\beta}$ algorithm based professional procedure VBAP is developed in MATLAB, and used to analyze the vehicle-bridge system coupled vibration. After damage is located by employing the displacement energy damage index, the damage extent is estimated through the least-square-method based model updating using static test data. At last, taking one simply supported bridge as an illustrative example, some damage scenarios are identified using the proposed damage identification methodology. The results indicate that the proposed method is efficient for damage localization and damage extent estimation.