• Title/Summary/Keyword: History taking

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Solitary Pulmonary Metastasis of Gestational Choriocarcinoma -Three Cases of Different Types- (임신성 융모상피암의 고립성 폐전이 -3가지 유형-)

  • Yoo, Se-Hwa;Yoo, Zin-Mock;Cho, Jae-Yeon;In, Kwang-Ho
    • Tuberculosis and Respiratory Diseases
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    • v.39 no.1
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    • pp.79-82
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    • 1992
  • Gestational choriocarcinoma is a highly malignant tumor which arises from the trophoblast of human pregnancy. This tumor develops early pulmonary metastasis and the most common pattern of pulmonary metastasis is discrete multiple nodules. But occasionally solitary pulmonary metastasis occurs. Authors presented three cases of choriocarcinoma presented with different types of solitary pulmonary metastases with review of literatures. We emphasize the importance of careful obstetric history taking and screening of serum gonadotropin level in differential diagnosis of solitary pulmonary lesion especially among women who are from areas of high prevalence of trophoblastic neoplasia.

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A Comparative Study on the Corporate Governance and Internal Control System of Korean and Japanese General Trading Companies (한국과 일본종합상사의 기업지배구조와 내부통제시스템 비교연구)

  • Jung, Hong-Joo;Jung, Moon-Kyung;Kim, Yang-Ryul
    • THE INTERNATIONAL COMMERCE & LAW REVIEW
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    • v.41
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    • pp.293-319
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    • 2009
  • This paper aims to find the differences between the trading company of Korea and Japan, by analyzing the development history of Corporate Governance and Internal Control System in Korea and Japan. And this paper studies about that on the legal site. A corporate governance has the tremendous influence on the value of the company, and a company's system of internal control has a key role in the management of risks that are significant to the fulfillment of its business objectives. On the other hand, many companies in the every industry have suffered several times from fatal loss or damage resulted from miss or malfeasance late in the 20th century. And the result of that, starting the Sarbanese-Oxley Act in America, a government established the financial laws and corporate laws in the a lot of countries including Korea and Japan. Japanese trading companies tend to be taking a serious view of internal control more than corporate governance against Korean trading companies. But this not means that Japanese are superior to Korean. The most important thing is the fact that Korean trading companies have to spend enough time finding suitable system of corporate governance and internal control as Japanese trading companies did.

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Case of the Oculomotor Nerve Palsy in Miller Fisher Syndrome (Miller Fisher 증후군의 동안신경마비에 대한 치험1례)

  • Du In Sun;Kim Jin Man;Hong Chul Hee;Seo Eun Sung;Park Min Chul;Kim Nam Kwen
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.17 no.3
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    • pp.842-844
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    • 2003
  • Miller Fisher syndrome is characterized by ophthalmoplegia, ataxia and areflexia and develops after respiratory tract viral infection. Other events are GI tract infection, vaccination, digitalis intoxication, insect bite and delivery. Diagnosis of Miller Fisher syndrome can be made with clinical history taking, cardinal symptoms and normal findings of CT or MRI. We have experienced a case of Miller Fisher syndrome and treated with herbal medicine, eletro-acupuncture at paralytic external ophthalmic muscles. We enforced electro-acupuncture for 10 minutes daily. We used the PG-306 electro-acupuncture products(Suzuki Iryoki Co. Japan) and applied the low consequence wave of 1-8Hz. In 3 months, all the main symptoms disappered and the patient improved in health. Based on this experience, herbal medicine and eletro-acupuncture can be applied to the Miller Fisher syndrome.

Designing an Effective Pay-for-performance System in the Korean National Health Insurance

  • Jeong, Hyoung-Sun
    • Journal of Preventive Medicine and Public Health
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    • v.45 no.3
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    • pp.127-136
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    • 2012
  • The challenge facing the Korean National Health Insurance includes what to spend money on in order to elevate the 'value for money.' This article reviewed the changing issues associated with quality of care in the Korean health insurance system and envisioned a picture of an effective pay-for-performance (P4P) system in Korea taking into consideration quality of care and P4P systems in other countries. A review was made of existing systematic reviews and a recent Organization for Economic Cooperation and Development survey. An effective P4P in Korea was envisioned as containing three features: measures, basis for reward, and reward. The first priority is to develop proper measures for both efficiency and quality. For further improvement of quality indicators, an electronic system for patient history records should be built in the near future. A change in the level or the relative ranking seems more desirable than using absolute level alone for incentives. To stimulate medium- and small-scale hospitals to join the program in the next phase, it is suggested that the scope of application be expanded and the level of incentives adjusted. High-quality indicators of clinical care quality should be mapped out by combining information from medical claims and information from patient registries.

A Study on Related Factors to Overweight for Primary School Children (초등학생의 과체중 관련요인에 관한 연구)

  • Park, Mi-A;Mun, Hyeon-Gyeong;Lee, Gyu-Han
    • Journal of the Korean Dietetic Association
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    • v.4 no.2
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    • pp.145-151
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    • 1998
  • The purpose of this study was to investigate the related factors to child overweight through investigation of children aged 6-12. Data on physical examinations, family history and dietary habits were obtained. Children were classified into normal(98 persons) and overweight(118 persons) group using the combination of height for age, weight for age and weight for height standard by the World Health Organization. Children's height, weight and BMI exhibited a significant difference between groups except children aged 8 for height. Unbalanced diet was a risk factors for overweight(Odd ratio : 1.765, 95% CI : 1.022~3.048). Number of brothers showed negative significance especially in two brothers compared to that of one(Odd ratio : 0.456, 95% CI : 0.209~0.995). But Birth weight, feeding practice, overeating, taking nutrition pills, sleeping time, mother's education level and employmental status didn't have any difference. We found out there were different risk factors between obese and overweight group. They should be divided into different groups in studying risk factors. And we should pay much attention to overweight children in order to prevent improving to obesity.

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A maximum likelihood approach to infer demographic models

  • Chung, Yujin
    • Communications for Statistical Applications and Methods
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    • v.27 no.3
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    • pp.385-395
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    • 2020
  • We present a new maximum likelihood approach to estimate demographic history using genomic data sampled from two populations. A demographic model such as an isolation-with-migration (IM) model explains the genetic divergence of two populations split away from their common ancestral population. The standard probability model for an IM model contains a latent variable called genealogy that represents gene-specific evolutionary paths and links the genetic data to the IM model. Under an IM model, a genealogy consists of two kinds of evolutionary paths of genetic data: vertical inheritance paths (coalescent events) through generations and horizontal paths (migration events) between populations. The computational complexity of the IM model inference is one of the major limitations to analyze genomic data. We propose a fast maximum likelihood approach to estimate IM models from genomic data. The first step analyzes genomic data and maximizes the likelihood of a coalescent tree that contains vertical paths of genealogy. The second step analyzes the estimated coalescent trees and finds the parameter values of an IM model, which maximizes the distribution of the coalescent trees after taking account of possible migration events. We evaluate the performance of the new method by analyses of simulated data and genomic data from two subspecies of common chimpanzees in Africa.

Squamous Cell Carcinoma In Palatal Gingiva. A Case Report (상악 구개부 치은에 발생한 편평상피세포암의 증례보고)

  • Kim, Ok-Su;Chung, Hyun-Ju
    • Journal of Periodontal and Implant Science
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    • v.26 no.1
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    • pp.309-316
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    • 1996
  • Squamous cell carcinoma is the most common malignant tumor of the gingiva. Oral cancer accounts for 5 percent of all malignant tumors in the body, and 6 percent of these occur in the gingiva. We present one case of squamous cell carcinoma of the gingiva in 23-year-old female. She complained of gingival swelling and pain during mastication between left maxillary first molar and second molar. Since she had received scaling 2 years ago, food impaction occurred frequently in this site and an ulcerative lesion recurred several times. When she was referred from local clinic, she had a large, irregularly ulcerated lesion of palatal gingiva between left maxillary first molar and second molar, accompanying induration in center and slight elevation around ulcerative margin. The etiology could not be defined but we could diagnose by careful history taking and excisional biopsy of the recurrent ulcerative lesion. In addition, computed tomography and nuclear medicine imaging were undertaken. As a result, we finally diagnosed as moderately differentiated squamous cell carcinoma without metastases. It is concluded that if ulcerations do not respond to therapy in the usual manner, it should be biopsed and histologically evaluated for the definitive diagnosis and treatment.

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Furosemide induced medullary nephrocalcinosis mimicking Bartter syndrome (바터씨 증후군으로 오인된 furosemide로 인한 신수질 석회화)

  • Kim, Sohee;Kyung, Chanhee;Kim, Yong Hoon;Cho, Jang Ho;Hwang, Changhyeok;Lee, Jung Eun
    • Journal of Yeungnam Medical Science
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    • v.31 no.1
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    • pp.21-24
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    • 2014
  • Clinical presentation of Bartter syndrome is similar to surrepitious vomiting or use of diuretics. Therefore, precise differential diagnosis of Bartter syndrome is crucial. We report a case of medullary nephrocalcinosis (MNC) induced by furosemide mimicking Bartter syndrome. A 55-year-old female patient visited our hospital with renal dysfunction on basis of hypokalemia and metabolic alkalosis. She had no history of hypertension or drug use except allopurinol and atorvastatin. She did not complain of nausea or vomiting on presentation and the serum magnesium level was normal. We performed ultrasonography, that showed MNC. For these reasons, we suspected Bartter syndrome and corrected the electrolyte imbalance. During outpatient follow up, we found that the patient had been taking 400 mg of furosemide daily for 30 years. We could diagnose furosemide induced MNC, and recommended to her to reduce the amount of furosemide.

Nonlinear Fracture Finite Element Model of Reinforced Concrete Plates (철근콘크리트판의 비선형 파괴 유한요소 모델에 관한 연구)

  • Jin, Chi Sub;Cha, Young Soo;Eom, Jong Uk
    • KSCE Journal of Civil and Environmental Engineering Research
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    • v.8 no.3
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    • pp.11-20
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    • 1988
  • A general finite element method is developed to analyze reinforced concrete plates under dead loads and monotonically increasing live loads. This method can be used to trace the load-deformation response and crack propagation through elastic, inelastic and ultimate ranges. The internal concrete and steel stresses can also be determined for any stage of the response history. A layered 8 node isoparametric element taking account of coupling effect between the membrane and the bending action is developed. An incremental tangent stiffness method is used to obtain a numerical solution. Validity of the method is studied by comparing the numerical solutions with other results.

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A Study on Female Sexual Dysfunction, Sexual Distress, Sexual Attitude and Knowledge in Korean Women (여성의 성기능 장애와 성 스트레스, 성태도 및 성지식과의 관계 연구)

  • Bae, Jeong-Yee
    • Women's Health Nursing
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    • v.10 no.4
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    • pp.342-350
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    • 2004
  • Purpose: It has been suggested that approximately 40% of women between 40 and 64 years of age cease their sexual activity. The aim of this study was to establish the basic data for FSD(female sexual dysfunction) and FSD-related factors in regional urban and rural areas of Korea. Method: Three hundred twenty five women over 20 years of age and resident in regional urban and rural areas were analyzed by a visit survey with an organized questionnaire. The female sexual function index(FSFI) for measurement of sexual dysfunction was used. The significance between the degree of sexual dysfunction and characteristics of the participants was analyzed by a t-test and ANOVA test. The relationship between the degree of sexual dysfunction and related factors was analyzed by Pearson's correlation coefficient. Results: All analyzing tools including the FSFI had a high validity for measuring. The FSFI in Korean women was $19.97{\pm}4.87$ and ranged from 2 to 29. Old age, menopause, medication, no contraception usage and longer marital duration were significantly related with a lower FSFI score. Pearson's correlation coefficient revealed the significance in degrees of sexual distress (r=-.469, p=.000), sexual attitude(r=.305, p=.000) and a stressful life event(r= -.141, p=.038) with the sexual function index score. Conclusion: Women with sexual dysfunction should be evaluated for these sexual function-related factors in the history taking, and this data can be a basis for study for sexual dysfunction.

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