• Title/Summary/Keyword: Later Examination

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Clinical Observation on Blood Flow of Facial Acupuncture Points in Bell's Palsy Patients by Doppler Ultrasound (도플러 초음파검사를 이용한 안면마비 환자의 안면부 경혈의 혈류 관찰)

  • Yin, Chang-Shik;Bae, Young-Min;Choi, Yang-Sik;Ko, Jeong-Min;Kim, Sergey;Kang, Uk;Lee, Sang-Hoon
    • Journal of Acupuncture Research
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    • v.26 no.2
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    • pp.49-58
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    • 2009
  • Objectives : The aim of this study was to investigate whether Doppler ultrasound device is applicable for the evaluation of facial palsy patients. Methods : A total of 25 patients participated in the first assessment and 22 of them finished a follow-up assessment one week later. An assessment comprised of a Minimax-Doppler-K device examination on bilateral acupoints $ST_5$, $SI_{19}$, $ST_2$, and $BL_1$, House-Brackmann grading, and subjective symptom questionnaire. Measurement reliability was assessed and clinically meaningful variations of Doppler measurement values were explored. Results : Doppler ultrasound examination revealed a significant difference of some measurement values between values of the symptom side and the contralateral side, between groups of severe paralysis and moderate paralysis, and between groups of short duration(0-3 weeks) and long duration (3 weeks-5 months) by non-parametric analyses (p<0.05). Several re-examination values showed a significant correlation with the first examination values by Spearman's correlation tests (p<0.05). Conclusions : This study revealed several possibilities for the clinical application of this device. Further validity tests and device improvements for a user's convenience would be helpful for its practical application.

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The Reliability of Eye Screening Physical Examination in School and Living Environment Characteristics of Young Children with Amblyopia (유소년 약시환자의 생활환경 특성과 학교신체검사 안검진의 신뢰성)

  • Oh, Won-Geon;Kim, Sung-Chul
    • The Journal of the Korea Contents Association
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    • v.14 no.6
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    • pp.262-270
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    • 2014
  • Considering that few studies had paid attention to the living characteristics and social environment surrounding amblyopes, the present study surveyed the parents of children aged 3 to 12 and diagnosed-with amblyopia to analyse the time when the children were first diagnosed-with amblyopia, the characteristics of their living environment and the socio-environmental factorsand to delve into correlations. For the purpose of this study, 104 parents of patients in 4 hospitals in Seoul, Gyeonggi and Incheon consented to participate in the survey from September 2 to November 23: 2013. As for the time when the children were first diagnosed with amblyopia: the age of 4 accounted for the highest percentage(28.8%). The older the parents were: the later the children were diagnosed with amblyopia (p<.01). The higher the education of parents, the earlier the diagnosis of amblyopia(p<.05). The present findings-will be conducive to decreasing the number of patients who have no choice but to live-with low vision for life by missing some timely visual acuity tests and ophthalmological examination and particularly to developing a social safety net that can realize national medical welfare for the low-income families and the socially disadvantaged class.With the help of information technology.

Squamous Cell Carcinoma in the Base of the Tongue in a Dog (개의 혀 뿌리에서 발생한 편평세포암종)

  • Kim, Se-Eun;Kim, Seung-Hyun;Shim, Kyung-Mi;Bae, Chun-Sik;Kang, Seong-Soo
    • Journal of Veterinary Clinics
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    • v.33 no.1
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    • pp.30-33
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    • 2016
  • It is difficult to detect and diagnose a mass at the tongue base, particularly if the mass is located under normal appearing mucosa. Computed tomography (CT), particularly post-contrast images, is useful to evaluate a tongue mass and adjacent structures including cervical lymph nodes. Nevertheless, a definitive diagnosis of a mass is obtained by histopathological examination. In this case, we describe a mass arising from the tongue body to the root in a dog. The patient was referred with ptyalism and an eating disorder. An oral examination was performed, and decreased tongue motility was observed. CT scanning was performed, and a lingual mass was detected. A lingual mass sample was collected by biopsy at the postmortem 2 months later. A histopathological examination was performed, and the lingual mass was diagnosed as squamous cell carcinoma.

Changes in body weight and food security of adult North Korean refugees living in South Korea

  • Jeong, HaYoung;Lee, Soo-Kyung;Kim, Sin-Gon
    • Nutrition Research and Practice
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    • v.11 no.4
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    • pp.307-318
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    • 2017
  • BACKGROUND/OBJECTIVES: Relocation to new environments can have a negative impact on health by altering body weight and dietary patterns. This study attempted to elucidate changes in body weight, food security, and their current food and nutrient consumption in adult North Korean refugees (NKR) living in South Korea (SK). SUBJECTS/METHODS: This study analyzed data on 149 adult NKR from a North Korean refugee health in SK cohort at four time points (leaving North Korea, entering SK, first examination, and second examination). Body weight was self-reported at the two earlier time points and directly measured at the two later time points. Food security, diet-related behaviors (dietary habits and food consumption), and sociodemographic information were obtained using a self-administered questionnaire. Nutrient intake information was obtained by one-day 24-hour recall. Statistical analyses were performed with SPSS ver 23.0. RESULTS: Body weight increased during relocation by an average of 4 kg, although diversified patterns were observed during the settlement period in SK. Approximately 39.6% of subjects maintained their body weight between the first and second examinations, whereas 38.6% gained and 22.1% lost at least 3% of their body weight at the first examination by the second examination. Food security status improved from 12.1% food secure proportion to 61.7%. NKR showed generally good food and nutrient consumption (index of nutrient quality: 0.77-1.93). The body weight loss group showed the most irregular meal consumption pattern (P < 0.05), and eating-out was infrequent in all three groups. Consumption frequencies of food groups did not differ by group, except in the fish group (P = 0.036). CONCLUSION: This study observed considerable body weight adjustment during the settlement period in SK after initial weight gain, whereas food security consistently improved. More detailed understanding of this process is needed to assist healthy settlement for NKR in SK.

A Case of Thickened Gallbladder Wall and Pneumonia in a Child with Infectious Mononucleosis (담낭염과 폐렴을 동반한 전염성 단핵구증 1례)

  • Kim, Hyun Soo;Kim, Hyung Suk;Shin, Young Kyoo;Eun, Baik Lin;Park, Sang Hee;Cha, Sang Hoon
    • Pediatric Infection and Vaccine
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    • v.4 no.1
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    • pp.167-173
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    • 1997
  • Acute infectious mononucleosis, caused by Epstein-Barr virus(EBV), is a self limited lymphoproliferative illness that is common in adolescents and young adults. It shows many complications in multiple organ systems, but the hepatobiliary and the respiratory complication is uncommon. We report a case with thickened gallbladder wall and pneumonia as complications of acute infectious mononucleosis in a child. Also the related literature were reviewed. A 4 year old boy presented with a history of high fever, cough, and abdominal distension for 20days. Physical Examination revealed audible crackles in whole lung field and gross hepatomegaly. Chest X-ray showed pneumonia and liver function tests were abnormal. Ultrasonography and computed tomography revealed a thickened gallbladder wall and hepatosplenomegaly. The diagnosis of primary Epstein-Barr viral infection was eventually made by specific serologic tests. The patients's fever subsided 6 weeks later and pneumonia was recovered around this time. Liver function tests returned near normal 2 months later and ultrasonography of gallbladder was normal at this time.

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Bilateral Triamcinolone Induced Subconjunctival Granuloma in the Treatment of Scleritis Accompanied by Scleral Ectasia in a Dog

  • Kang, Seonmi;Go, Dumin;Kim, Daeyong;Seo, Kangmoon
    • Journal of Veterinary Clinics
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    • v.35 no.4
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    • pp.130-136
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    • 2018
  • A 6-year-old spayed female American Cocker Spaniel presented with episcleritis in the right and then the left eye (OS) at eight month interval. Repeated intralesional triamcinolone acetonide was administered subconjunctivally to both eyes (OU). During this period, scleral ectasia was revealed on ocular funduscopy OS and then confirmed on ultrasonography and computed tomography. A year later, conjunctival hyperemia occurred around remnant triamcinolone particles and was treated by resection of these particles in the OU. A recurrence of episcleritis, which did not regress, required repeated triamcinolone subconjunctival injections four months later in the OU. Four months after these injections OU, the dog was presented with bilateral conjunctival mass, which had developed over the previous month. The round-shaped masses with diameters of 1 cm were surgically resected from exposed scleral ectasia lesion of thin and bulging scleral surface in the OU. The cross-section of both masses showed a white-colored accumulation at the center and triamcinolone induced granulomas enclosing necrotic tissue were confirmed by impression cytology and histopathological examination.

Association of Infant Feeding Characteristics With Dietary Patterns and Obesity in Korean Childhood

  • Kyoung-Nam Kim;Moon-Kyung Shin
    • Journal of Preventive Medicine and Public Health
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    • v.56 no.4
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    • pp.338-347
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    • 2023
  • Objectives: Young children's feeding characteristics can play an important role in eating habits and health during later childhood. This study was conducted to examine the associations of feeding characteristics with dietary patterns and obesity in children. Methods: This study utilized data from the Korea National Health and Nutrition Examination Survey conducted between 2013 and 2017. In total, 802 toddlers were included, with information on their demographic characteristics, feeding practices and duration, and 24-hour recall obtained from their parents. Feeding characteristics were categorized into feeding type, duration of total breastfeeding, duration of total formula feeding, duration of exclusive breastfeeding, and age when starting formula feeding. Dietary patterns were identified based on factor loadings for the food groups for 3 major factors, with "vegetables & traditional," "fish & carbohydrates," and "sweet & fat" patterns. Overweight/obesity was defined as ≥85th percentile in body mass index based on the 2017 Korean National Growth charts for children and adolescents. Multiple regression analysis was conducted to examine associations between feeding characteristics and dietary patterns. The association between dietary patterns and obesity was analyzed using multivariable logistic regression analysis. Results: The early introduction of formula feeding was inversely associated with the "vegetables & traditional" pattern (β=-0.18; 95% confidence interval [CI], -0.34 to -0.02). A higher "vegetables & traditional" intake was associated with a lower risk of obesity (odds ratio, 0.48; 95% CI, 0.24 to 0.95). Conclusions: Feeding characteristics are associated with dietary patterns in later childhood, and dietary patterns were shown to have a potential protective association against obesity.

Effects of Catalpa Ovata on the Collagen-induced Arthritis in Lewis Rats (개오동이 흰쥐의 Collagen 유발 관절염에 미치는 영향)

  • Kim, Sun-Jung;Seo, Il-Bok;Yoon, Je-Pil
    • The Journal of Korea CHUNA Manual Medicine
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    • v.4 no.1
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    • pp.75-88
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    • 2003
  • Objectives : The purpose of this study is to find out the effects of Catalpa Ovata on the collagen-induced arthritis in the lewis rats. and we infere the effects of Catalpa Ovata on the rheumatoid arthritis in the human body. Methods : We investigated the effect of Catalpa Ovata on the Collagen-induced arthritis in Lewis rats via morphology, histology and serology as an experimental group, a control group, and a normal group. We feed Catalpa Ovata. only to an experimental group. Results : According to this research, the abnormal finding In Moire topography was 53.7% (1,018 students), and students needed X-ray re-examination were 11.2% (213 students). Students diagnosed scoliosis by X-ray re-examination were 1.8%. According to statistical analysis, interval between vertical base line of pelvis and vertical base line of neck, gap between left distance and right distance to the vertical base line of pelvis and difference of contour lines have strong correlations with deformity degree of the body surface examined by Moire. Conclusions : 1. The weight of an experimental group were lower than control group with statistically significant at 15 days later. 2, The paw edema volume of an experimental group were lower than control group at 10 days, 15 days later. but couldn't be found meaning. 3. The size of the tarsal joint of an experimental group were lower than control group at 5 days, 10 days, 15 days later, but couldn't be found meaning. 4. The volume of tumor necrosis factor-a at an experimental group were lower than control group with statistically significant. 5. The volume of interleukin-$1{\beta}$ at an experimental group were lower than control group with statistically significant. 6. An experimental group and a control group were showed ankylosing osteoarthritis, but an experimental group compared with a control group, alleviated In the fibrous ankylosis, destruction of articular cartilage and destruction of subchondral bony tissue. According to the above results, it might be considered that Catalpa Ovata has the suppression of the advance of the Collagen-induced arthritis and that result were presumed to bo connected with suppression of volume of the tumor necrosis $factor-{\alpha}$ and $interleukin-1{\beta}$ in the blood.

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Natural History of Early Gastric Cancer: a Case Report and Literature Review

  • Iwai, Tomohiro;Yoshida, Masao;Ono, Hiroyuki;Kakushima, Naomi;Takizawa, Kohei;Tanaka, Masaki;Kawata, Noboru;Ito, Sayo;Imai, Kenichiro;Hotta, Kinichi;Ishiwatari, Hirotoshi;Matsubayashi, Hiroyuki
    • Journal of Gastric Cancer
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    • v.17 no.1
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    • pp.88-92
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    • 2017
  • Early detection and treatment decrease the mortality rate associated with gastric cancer (GC). However, the natural history of GC remains unclear. An 85-year-old woman was referred to our hospital for evaluation of a gastric tumor. Esophagogastroduodenoscopy identified a 6 mm, flat-elevated lesion at the lesser curvature of the antrum. A biopsy specimen showed a well-differentiated tubular adenocarcinoma. The depth of the lesion was estimated to be intramucosal. Although the lesion met the indications for endoscopic resection, periodic endoscopic follow-up was performed due to the patient's advanced age and comorbidities. The mucosal GC invaded into the submucosa 3 years later, and finally progressed to advanced cancer 5 years after the initial examination. The patient died of tumor hemorrhage 6.4 years after the initial examination. In this case, mucosal GC progressed to advanced GC, eventually leading to the patient's death from GC. Early and appropriate treatment is required to prevent GC-related death.

Some Problems and Practical Notes on UCP 600 Standard for Examination of Documents (UCP 600 서류심사기준의 문제점과 실무상 유의점)

  • Seo, Jung-Doo
    • THE INTERNATIONAL COMMERCE & LAW REVIEW
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    • v.33
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    • pp.91-118
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    • 2007
  • In the transaction of credits, banks must examine the presentation to determine, on the basis of the documents alone, whether or not the documents appear on their face to constitute a complying presentation. And bank shall each have a maximum of five banking days following the day of presentation to determine if a presentation is complying. This period does not depend on any upcoming expiry date or last day for presentation. Data in a document, when read in context with the credit, the document itself and international standard banking practice, need not be identical to, but must not conflict with, data in i) that document; ii) any other stipulated document; or iii) the credit. When a bank determines that a presentation is complying, it must honour or negotiate. But, when a bank determine that a presentation does not comply, it may refuse to honour or negotiate. When a bank decides to refuse to honour or negotiate, it must give a single notice to that effect to the presenter. That notice must be given by telecommunication or, if that is not possible, by other expeditious means no later than the close of the fifth banking day following the day of presentation.

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