• Title/Summary/Keyword: Later Examination

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

  • 인창식;배영민;최양식;고정민;김세르게이;강욱;이상훈
    • Journal of Acupuncture Research
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    • 제26권2호
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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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유소년 약시환자의 생활환경 특성과 학교신체검사 안검진의 신뢰성 (The Reliability of Eye Screening Physical Examination in School and Living Environment Characteristics of Young Children with Amblyopia)

  • 오원근;김성철
    • 한국콘텐츠학회논문지
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    • 제14권6호
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    • pp.262-270
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    • 2014
  • 유소년 약시환자의 생활환경특성을 알아보기 위해 2013년 9월 2일부터 11월 23일까지 약시진단을 받은 만 3세에서 12세의 안과 내원환자의 보호자 104명을 대상으로 설문조사하여 결과를 분석하였으며, 약시 진단시기는 만 4세(28.8%)때 가장 많이 진단을 한 것으로 나타났다. 또한 보호자 연령이 높을수록 약시 진단시기가 늦은 것으로 나타났으며(p<.01), 부모의 교육수준이 높을수록 약시 진단시기가 빠른 것으로 나타났다(p<.05). 위의 결과에 따라 유소년약시의 최초 진단시기와 생활환경 특성이 서로 밀접한 관련이 있음을 알 수 있으며 사회 환경적 요인과 생활환경 특성이 관련 있음을 알 수 있었다. 이러한 결과는 향후 지역의 소외계층이나 직업, 연령, 학력의 지형적인 분포에 따라 적극적인 계몽과 사회제도적 개선으로 국민 안건강 향상에 디딤돌이 되었으면 한다.

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

  • 김세은;김승현;심경미;배춘식;강성수
    • 한국임상수의학회지
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    • 제33권1호
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    • pp.30-33
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    • 2016
  • 혀 뿌리 부위의 종양, 특히 종양이 정상으로 보이는 점막 아래에 위치해 있는 경우 발견하고 진단하기가 어렵다. 전산화단층촬영법, 특히 조영후 영상은 혀의 종양을 평가하고 경부 림프절을 포함한 인근 조직을 평가하기에 유용하다. 그러나 종양을 확진하기 위해서는 조직병리검사가 필요하다. 본 증례는 개에서 혀의 뿌리부터 몸통에 걸쳐 종양이 발생하였으며 환자는 유연과다 및 섭식장애 증상으로 전원되었다. 구강검사 결과 혀의 운동성 장애가 관찰되었으며 전산화단층촬영으로 혀 종양이 확인되었다. 2달 뒤 사후에 개의 혀에서 조직을 채취하여 조직병리검사를 실시한 결과 혀의 종양은 편평세포암종으로 진단되었다.

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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    • 제11권4호
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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.

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

  • 김현수;김형석;신영규;은백린;박상희;차상훈
    • Pediatric Infection and Vaccine
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    • 제4권1호
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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
    • 한국임상수의학회지
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    • 제35권4호
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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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    • 제56권4호
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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.

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

  • 김순중;서일복;윤제필
    • 대한추나의학회지
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    • 제4권1호
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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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    • 제17권1호
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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.

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

  • 서정두
    • 무역상무연구
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    • 제33권
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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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