• Title/Summary/Keyword: Medical Examination Result

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Chronic Lateral Ankle Instability (만성 외측 발목 불안정)

  • Kim, Dae-Wook;Sung, Ki-Sun
    • Journal of Korean Foot and Ankle Society
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    • v.22 no.2
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    • pp.55-61
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    • 2018
  • Chronic lateral ankle instability is a major complication of acute ankle sprains, which can cause discomfort in both daily and sports activity. In addition, it may result in degenerative changes to the ankle joint in the long term. An accurate diagnostic approach and successful treatment plan can be established based on a comprehensive understanding of the concept of functional and mechanical instability. The patients' history and correct physical examination would be the first and most important step. The hindfoot alignment, competence of the lateral ligaments, and proprioceptive function should be evaluated. Additional information can be gathered using standard and stress radiographs. In addition, concomitant pathologic conditions can be investigated by magnetic resonance imaging. Conservative rehabilitation composed of the range of motion, muscle strengthening, and proprioceptive exercise is the main treatment for functional instability and mechanical instability. Regarding the mechanical instability, surgical treatment can be considered for irresponsible patients after a sufficient period of rehabilitation. Anatomic repair (modified $Brostr{\ddot{o}}m$ operation) is regarded as the gold standard procedure. In cases with poor prognostic factors, an anatomical reconstruction or additional procedures can be chosen. For combined intra-articular pathologies, arthroscopic procedures should be conducted, and arthroscopic lateral ligament repair has recently been introduced. Regarding the postoperative management, early functional rehabilitation with short term immobilization is recommended.

LONG TERM FOLLOW-UP OF MULTIPLE ODONTOGENIC KERATOCYSTS ASSOCIATED WITH BASAL CELL NEVUS SYNDROME: A CASE REPORT (기저세포모반 증후군과 관련된 다발성 낭종의 장기 치료결과: 증례보고)

  • Lee, Eun-Young;Kim, Kyoung-Won
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.32 no.1
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    • pp.81-85
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    • 2010
  • Multiple jaw cysts are one of the most constant features of the basal cell nevus syndrome. Basal cell nevus syndrome is inherited as an autosomal dominant trait with variable expressiveness. This syndrome comprises a number of abnormalities such as multiple nevoid basal cell carcinomas of the skin, skeletal abnormalities as bifid rib and fusion of vertebrae, central nervous system abnormalities as mental retardation, eye abnormalities with multiple jaw cysts. The odontogenic keratocysts in patients with this syndrome are often associated with the crowns of unerupted teeth and huge size; on radiographs they may mimic dentigerous cysts. The most important feature of the cyst is its extraordinary recurrence rate. Since recurrence may be long delayed in this lesion, follow-up of any case of odontogenic keratocyst with roentgenograms and clinical examination of basal cell carcinoma are essential for at least five years after surgery. We report the result of 7-year follow up after cyst enucleation associated with basal cell nevus syndrome with the literature of review.

A Case Report of Chemotherapy-induced Neuropathic Pain Treated with Oriental Medicine

  • Cho, Jung-Hyo;Kim, Jin-Mi;Kim, Jin-Hee;Oh, Young-Seon;Kim, Cheol-Jung
    • The Journal of Korean Medicine
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    • v.31 no.6
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    • pp.58-63
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    • 2010
  • Objective: We present a case of chemotherapy-induced neuropathic pain with the aim of driving further study evaluating the effectiveness of Oriental medical treatment on patients with neuropathic pain. Method: We prescribed Bogijetong-tang (BJT) two times a day and performed acupuncture and moxibustion once a day over one month of hospitalization. Laboratory tests were performed twice a month during this period. To evaluate the therapeutic effect, Total Symptom Score (TSS) or Visual Analog Score (VAS) was examined at intervals of 7 days. Result: Laboratory data showed no abnormal signs compared with those of initial examination. The patient's subjective symptoms were rapidly relieved within one month. Also, the sums of TSS scores (upper limbs/lower limbs) decreased from 13.64/7.32 to 3.32/3.32 points, and VAS scores (upper limbs/lower limbs) improved from 19/10 to 6/8 points. Conclusion: This case presents a possibility that Oriental medical treatment may offer potential benefits (from an approach aimed at relieving of pain) for patients with chemotherapy-induced neuropathic pain.

Research of the necessity and awareness of the oriental physical therapy (한방물리치료 필요성과 인지도 연구)

  • Lee, Tae-Sik;Song, Min-Young
    • Journal of Korean Physical Therapy Science
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    • v.19 no.2
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    • pp.9-15
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    • 2012
  • Background : With its research and analysis on the actual condition of the oriental medical treatment and the oriental physical therapy and With its research on the physical therapists' awareness of the oriental physical therapy, Providing the basic information for the physical therapy development and the national heath improvement in the future. Methods : This research had performed random sampling survey of 200 physical therapists in Busan city and had excluded 4 with insincere answers or some ommission of survey contents. Result : The first most frequent disease type of the oriental medical center inpatients is paralytic sequela, the second is lumbago, the next is apoplexy in order. The first most frequent disease type of the outpatients is lumbago, the second is stiffness in the shoulder, the next is the sprain in order. And, it came out that most of frequent disease are required the physical therapy. Conclusion : This research results show high demands as well as the necessity of the oriental physical therapy. It seems physical therapy association needs very serious examination on the oriental physical therapy execution.

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The Importance of Nutritional Assessment and Dietary Counseling in Infants and Young Children with Common Illnesses (소아의 흔한 질병 상황에서 식이, 영양의 중요성)

  • Jeong, Su-Jin
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • v.14 no.1
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    • pp.33-44
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    • 2011
  • The influence of nutrition during early life on physical growth as well as mental development has been thoroughly discussed in the literature. The physical dimensions of the body are greatly influenced by nutrition, particularly during the period of rapid growth in early childhood. Nutritional status affects every pediatric patient's response toillness. Good nutrition is important for achieving normal growth and development. It is indicated that permanent impairment of the central nervous system may result from dietary restriction of imbalance during certain periods of life. If children under 3 years of age show a good nutritional status, it may be assumed that they are well nourished. Several common diseases of children such as iron deficiency, chronic constipation and atopic dermatitis are known food related diseases. Patients with chronic illness and those at risk of malnutrition should have detailed nutritional assessments done. Components of a complete nutritional assessment include a medical history, nutritional history including dietary intake, physical examination, anthropometrics (weight, length or stature, head circumference, midarm circumference, and triceps skinfold thickness), pubertal staging, skeletal maturity staging, and biochemical tests of nutritional status. The use of age, gender, and disease-specific growth charts is essential in assessing nutritional status and monitoring nutrition interventions. Nutrition assessment and dietary counseling is helpful for the cure of disease, and moreover, the prevention of illness.

Medical Image Compression in the Wavelet Transform Domain (Wavelet 변환 영역에서 의료영상압축)

  • 이상복;신승수
    • The Journal of the Korea Contents Association
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    • v.2 no.4
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    • pp.23-29
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    • 2002
  • This paper suggest the image compression that is needed to process PACS in medical information system. The image decoding method is used Linear-predictor and Lloyd-Max quantizer(quantization) in the Wavelet transform domain. Wavelet Transform Method is processed the multi-resolution by dividing image into 10 sub-bands of 3 levels. Low frequency domain that is sensitive to human visual characteristic is encoded by DPCM which is lossless encoding methods, and Lloyed-Max quantizer, the optimal quantizer for reducing ringing and aliasing in the image of inter sub-band, is used in the remaining high frequency domain of sub-band. The examination verifies that decompressed images are superior by the result that PSNR is 28.53dB on the input image, 512$\times$152 abdominal CT image and Chest image.

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The Study of Opportunistic Infection in the Medical Radiation Environment

  • Kim, Hyun-Soo;Dong, Kyung-Rae;Park, Ho-Sung
    • Korean Journal of Digital Imaging in Medicine
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    • v.13 no.3
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    • pp.105-109
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    • 2011
  • With the development of medical technologies and the growth of household incomes, most of the people have become to be interested in health as it leads to significant early detection and cure of diseases. However the pattern of disease becomes diverse and it makes the imaging diagnosis department crowded with many patients. Therefore the opportunistic infection could be serious there. The hospital becomes the place which provides high risks of infection danger but it is true that the opportunistic infection of the hospital employees is not still recognized well. The imaging diagnosis department has developed a lot but it becomes the medium of secondary infection of patients and employees. So this study analyzesthe status of bacteria infection of the examination table, the handle of diagnostic equipment and the hands of radiation staffs in imaging diagnosis department of the general hospitals and individual ones. And the result shows that some bacteria were found even though it's little. We are trying to make the hospitals to be free of secondary infection securing safety measure to prevent the secondaryinfection from occurring to patients and hospital employees.

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An Experimental Study on the design of the thermister thermometer (전기온도계 제작에 관한 실험적 연구)

  • Yun, Dork-Ro;Kim, Ik-Su
    • Journal of Preventive Medicine and Public Health
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    • v.6 no.1
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    • pp.65-70
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    • 1973
  • The study in the fild of medical instrument has been out of the interest by any of the life scientist in Korea. Especially, the recent developments in the medical electromics are remarkable one. Authors planned this study to ascertain the possibility of setting up the thermister thermometer with available accessories of demestic prouducts including some specific foreign assembly parts. By proper use of the thermister as one of the wheatstone bridge, we could detect tile resistance variations due to the environmental temperature variace. The intensive care for the bridge circuit and compensation scheme was required. The calibration procedure adopted here makes it possible to read the current as the temperature. The temperature range was determined by the examination and construction of the graph of the resistance-temperature variation. The determination of electric current, available ambient-temperature, the reduction of excessive current and self-heating of the thermister were made. Renovation in response-velocity was under taken too. This electronic thermometer was designed and assembled by the circuitry developed in accordance with the maximum availability of domestic products with some foreign-made parts. The result of our experiment showed very stable function and proved to be the most promissing item in the actual application as long as the thermistor thermister is concerned.

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A Study on the Architectural Planning of the Specialized Care Center in the Korean General Hospital (국내 종합병원 전문진료센터의 건축 계획에 관한 연구)

  • Jeong, Ka-Young;Yang, Nae-Won;Lee, Han-Seung
    • Journal of The Korea Institute of Healthcare Architecture
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    • v.13 no.3
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    • pp.25-33
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    • 2007
  • This study is about change a necessary and natural change from institutionalized hospital based health care to a more patient centered, accessible health care. Rapidly change of social and medical facts such as growing aging population, malady, changing of medical policy are made new paradigm. This paradigm is both required to the hospital ; consolidate department and service; architectural change. Benefit to patient and hospital are many, so there are many challenges in Korean general hospital. The purpose of this study is find architectural design guideline to Korean general hospital which is struggling to change from to functional organization to the patient based care center. As a result, the type is divided into three classes, consultation type(C), some of examinations are added on consultation type(EAC), consultation and examination are fully integrated type(CEI). Each type has different organization and the proportion of area, group unit, process of treatment.

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Clinical Characteristics of Postoperative Maxillary Cyst

  • Sharma, Aditi;Kim, Do-Hyung;Choi, So-Young;Kim, Jin-Wook;Kwon, Tae-Geon;Paeng, Jun-Young
    • Journal of Korean Dental Science
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    • v.10 no.2
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    • pp.60-65
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    • 2017
  • Purpose: The purpose of this study is to analyze the clinical features of postoperative maxillary cyst (POMC) according to the patient's medical history of previous sinus operation and symptoms with radiological characteristics. Materials and Methods: The subjects of this study were 41 patients who had been diagnosed with POMC via clinical and histological examination from 2007 to 2016. Result: Thirty-five patients had medical histories of Caldwell-Luc procedures and four patients had maxillary sinus surgery, such as cyst enucleation and open reduction for maxillary bony fractures. From the computed tomography images, 25.6% (11/43) showed multilocular cysts and 74.4% (32/43) showed unilocular lesions. As for the treatment methods, cyst enucleation was conducted on 34 patients, and among them, three were treated previously with marsupialization. Their symptoms included diverse locations of pain and swelling. Conclusion: The clinical features of POMC varied from unilocular to multilocular and the symptoms included pain and swelling.