• 제목/요약/키워드: Medical palpation

검색결과 79건 처리시간 0.026초

제주마와 제주산마에서 이리치아 잔존율 (Incidence of Wolf Teeth in Jeju Ponies and Jeju Pony Crossbreds)

  • 양재혁;쟈넷한;황규계;임윤규
    • 한국임상수의학회지
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    • 제32권3호
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    • pp.285-287
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    • 2015
  • 말(horse)의 이리치아 잔존율은 암수모두에서 13-31.9%라고 보고되었다. 그러나 포니(pony)의 이리치아 잔존율은 보고된 적이 없다. 저자들은 제주마와 제주산마의 이리치아 잔존율을 알아보기 위하여 2006년부터 2010년까지 제주경마공원의 경주마에서 시진 및 촉진을 통하여 구강을 검사하였다. 검사결과, 2,675마리에서 90 마리(제주마 30마리, 제주산마 60마리)가 이리치아를 가지고 있었고 잔존율은 3.4%였다. 제주마의 잔존율은 30마리중 수말이 73.3% (22마리), 암말이 26.7% (8마리), 제주산마는 60마리 중 수말이 41.7% (25), 암말이 58.3% (35마리)였다. 나이별분석에서는 제주마는 3세마가 가장 많았고 4세이상마 그리고 2세마 순이었으나 제주산마는 3세마, 2세마 그리고 4세이상마순이었다. 그러나 2종류의 경주마에서 아래턱의 이리치아는 전무하였다. 결론적으로, 제주마와 제주산마의 이리치아 잔존율은 외국에 비해 매우 낮았다.

개에서 두갈래근 힘줄 윤활막염의 관절강 내 코티코스테로이드 치료 1예 (Intra-articular Corticosteroid Treatment of Biceps Tenosynovitis in a Dog)

  • 이재연;지현철;이기자;박성준;최호정;이영원;김명철;정성목
    • 한국임상수의학회지
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    • 제24권1호
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    • pp.32-34
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    • 2007
  • 3개월 령, 35kg의 수컷 볼조이가 간헐적인 좌측 전지 파행을 주 증상으로 내원 하였다. 1년 전 심한 운동 후 간헐적인 파행 및 동통을 호소하였으며, 증상은 계속 악화되었다. 신체 검사 상에서 좌측 두갈래근의 촉진과 견관절의 굴곡 및 신장 시에 통증을 호소하였다. 일반방사선 검사에서 좌측 견관절의 결절사이고랑에서 골증식체와 관절주위변성이 관찰되었다. 관절 조영상에서는 좌측 두갈래근 힘줄에 거칠고 불규칙한 영상을 확인할 수 있었다. 활액 검사 상에서는 퇴행성 관절 질환 소견이 보였다. 이상의 검사들을 바탕으로 두갈래근 힘줄 윤활막염으로도 진단하고, 내과적 치료를 실시하였다. 무균적으로methylprednisolone acetate 40mg을 관절낭 내로 주사하고, 3주간 엄격한 운동 제한을 실시하였다. 3주 후 내원 시 두갈래근 힘줄의 통증은 완전히 소실되었으나 퇴행성 관절염에 의한 경등도의 파행이 존재하여 NSAIDs의 투여를 실시하였다. 장기적인 예후의 관찰이 필요할 것으로 생각되며, 원발질환의 재발 시에는 2차 약물치료 또는 힘줄 절단술(힘줄 고정술, 힘줄박리술)등 을 통한 수술적인 치료가 고려될 수 있다.

간종대(肝腫大)와 안면모세혈관확장(顔面毛細血管擴張)의 보험의학적연구(保險醫學的硏究) (A Study on Hepatomegaly and Facial Telangiectasia in a Group of the Insured)

  • 임영훈
    • 보험의학회지
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    • 제4권1호
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    • pp.110-132
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    • 1987
  • A study on hepatomegaly detected by abdominal palpation, and facial telangiectasia in a total of 3,418 insured persons medically examined at the Honam Medical Room of Dong Bang Life Insurance Company Ltd. from February, 1984 to August, 1985 was undertaken. The results were as follows: 1) Hepatomegaly was found in 383 cases(27.5%) among the 1,395 insureds of male and in 163 cases(8.1%) among the 2,023 insureds of female. The difference of incidence of hepatomegaly between all males and females showed statistical significance(p<0.001). In each age group, the incidence of hepatomegaly in :nale was higher than that in female. The incidence of hepatomegaly in each age group in male increased cnosiderably with age; it showed 11.6%,16.2%, 42.6% and 52.9% from second to sixth decade in order, thereafter in seventh decade it decreased to 26.7%, While the incidence of hepatomegaly in female increased slightly in each age group. 2) Facial telangiectasia was found in 318 cases(22.8%) among all males and in 157 cases(7.8%) among all females. The difference of incidence of telangiectasia between all males and females showed statistical significance(p<0.001). In each age group, the incidence of telangiectasia in male was higher than that in female, except of second decade. The incidence of facial telangiectasia in each age group in male increased considerably with age; while it increased slightly in female. 3) Facial telangiectasia accompanied by hepatomegaly was found in 235 cases(61.4%) among 383 cases of hepatomegaly in male and in 69 cases(42.3%) among 163 cases of hepatomegaly in female. The difference of incidence of telangiectasia between males and females show ed statistical significance(p<0.001). 4) Facial telangiectasia without spider angiomata accompanied by hepatomegaly was found in 201 cases(52.5%) among 383 cases of hepatomegaly in all males and in 67 casgs(41.4%) among 163 cases of hepatomegaly in all females; facial spider angiomata accompanied by hepatomegaly was found in 34 cases(8.9%) among 383 cases of hepatomegaly in all males and in 2 cases(1.2%) among 163 cases of hepatomegaly in all females. 5) Abnormal SGOT activity was found in 19 cases(7.9%) among 242 cases of hepatomegaly in all males and in one case(1.5%) among 67 cases of hepatomegaly in all females. The difference of incidence of abnormal SGOT activity showed statistical significance(p<0.001). The incidence of abnormal SGOT activity by the size of hepatomegaly, that is, palpated <1 finger's breadth, <2 fingers' breadth and ${\geqq}2$ fingers' breadth, revealed 2.2%, 6.0% and 60.0% respectively in all males, while abnormal SGOT activity was found only one case in fifth decade among 67 cases of hepatomegaly in all females. 6) In ordinary medical examination(the insured amount is low) abnormal SGOT activity was found in 7 cases(4.8%) among 146 cases of hepatomegaly palpated $1\frac{1}{2}$ fingers' breadth and under, while it was not found in 37 cases of the same sized hepatomegaly in all females. Above mentioned 7 cases are thought to be very significant because 7 cases occupy 35% in 20 cases of abnormal SGOT activity with hepatomegaly. 7) Abnormal SGOT activity was found in 12 cases(4.4%) among 273 cases of hepatomegaly of "not firm" consistency, while it was found in 8 cases(22.2%) among 36 cases of hepatomegaly of "firm" consistency. The difference of incidence of abnormal SGOT activity showed statistical significance(p<0.05). 8) Abnormal SGOT activity was found in 5 cases(17.9%) among 28 cases of spider angiomata with hepatomegaly, while it was found in 10 cases(7.3%) among 166 cases of telangiectasia without spider angiomata with hepatomegaly. Owing to a small number of cases, statistical significance was not recognized, but the incidence of abnormal SGOT activity in spider angiomata cases with hepatomegaly is apt to be higher than that in telangiectasia cases without spider angiomata with hepatomegaly. 9) The incidence of abnormal SGOT activity is apt to be higher with age in male group; abnormal SGOT activity was not found among 4 cases of hepatomegaly in second decade and it was 3.8% in third decade, 4.5% in fourth decade, 9.3% in fifth decade, 17.5% in sixth decade and 33.3% in seventh decade, while the incidence of it was only one case among 67 cases in all females. 10) It is believed that the performance of liver function test to the subjects with hepatomegaly even in ordinary medical examination(the insured amount is low) will give considerable contribution for medical selection of hepatomegaly risk. 11) Age of the insured(young or old), presence of facial telangiectasia or spider angiomata especially and their severity, and consistency of enlarged liver(firm or not) should be considered to increase accuracy in evaluating hepatomegaly risk.

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'아유르베다'($\bar{A}yurveda$)의 의경(醫經)에 관한 연구 (A Study of The Medical Classics in the '$\bar{A}yurveda$')

  • 김기욱;박현국;서지영
    • 대한한의학원전학회지
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    • 제20권4호
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    • pp.91-117
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    • 2007
  • Through a simple study of the medical classics in the '$\bar{A}yurveda$', we have summarized them as follows. 1) Traditional Indian medicine started in the Ganges river area at about 1500 B. C. E. and traces of medical science can be found in the "Rigveda" and "Atharvaveda". 2) The "Charaka" and "$Su\acute{s}hruta$(妙聞集)", ancient texts from India, are not the work of one person, but the result of the work and errors of different doctors and philosophers. Due to the lack of historical records, the time of Charaka or $Su\acute{s}hruta$(妙聞)s' lives are not exactly known. So the completion of the "Charaka" is estimated at 1st${\sim}$2nd century C. E. in northwestern India, and the "$Su\acute{s}hruta$" is estimated to have been completed in 3rd${\sim}$4th century C. E. in central India. Also, the "Charaka" contains details on internal medicine, while the "$Su\acute{s}hruta$" contains more details on surgery by comparison. 3) '$V\bar{a}gbhata$', one of the revered Vriddha Trayi(triad of the ancients, 三醫聖) of the '$\bar{A}yurveda$', lived and worked in about the 7th century and wrote the "$A\d{s}\d{t}\bar{a}nga$ $A\d{s}\d{t}\bar{a}nga$ $h\d{r}daya$ $sa\d{m}hit\bar{a}$ $samhit\bar{a}$(八支集)" and "$A\d{s}\d{t}\bar{a}nga$ Sangraha $samhit\bar{a}$(八心集)", where he tried to compromise and unify the "Charaka" and "$Su\acute{s}hruta$". The "$A\d{s}\d{t}\bar{a}nga$ Sangraha $samhit\bar{a}$" was translated into Tibetan and Arabic at about the 8th${\sim}$9th century, and if we generalize the medicinal plants recorded in each the "Charaka", "$Su\acute{s}hruta$" and the "$A\d{s}\d{t}\bar{a}nga$ Sangraha $samhit\bar{a}$", there are 240, 370, 240 types each. 4) The 'Madhava' focused on one of the subjects of Indian medicine, '$Nid\bar{a}na$' ie meaning "the cause of diseases(病因論)", and in one of the copies found by Bower in 4th century C. E. we can see that it uses prescriptions from the "BuHaLaJi(布哈拉集)", "Charaka", "$Su\acute{s}hruta$". 5) According to the "Charaka", there were 8 branches of ancient medicine in India : treatment of the body(kayacikitsa), special surgery(salakya), removal of alien substances(salyapahartka), treatment of poison or mis-combined medicines(visagaravairodhikaprasamana), the study of ghosts(bhutavidya), pediatrics(kaumarabhrtya), perennial youth and long life(rasayana), and the strengthening of the essence of the body(vajikarana). 6) The '$\bar{A}yurveda$', which originated from ancient experience, was recorded in Sanskrit, which was a theorization of knowledge, and also was written in verses to make memorizing easy, and made medicine the exclusive possession of the Brahmin. The first annotations were 1060 for the "Charaka", 1200 for the "$Su\acute{s}hruta$", 1150 for the "$A\d{s}\d{t}\bar{a}nga$ Sangraha $samhit\bar{a}$", and 1100 for the "$Nid\bar{a}na$", The use of various mineral medicines in the "Charaka" or the use of mercury as internal medicine in the "$A\d{s}\d{t}\bar{a}nga$ Sangraha $samhit\bar{a}$", and the palpation of the pulse for diagnosing in the '$\bar{A}yurveda$' and 'XiZhang(西藏)' medicine are similar to TCM's pulse diagnostics. The coexistence with Arabian 'Unani' medicine, compromise with western medicine and the reactionism trend restored the '$\bar{A}yurveda$' today. 7) The "Charaka" is a book inclined to internal medicine that investigates the origin of human disease which used the dualism of the 'Samkhya', the natural philosophy of the 'Vaisesika' and the logic of the 'Nyaya' in medical theories, and its structure has 16 syllables per line, 2 lines per poem and is recorded in poetry and prose. Also, the "Charaka" can be summarized into the introduction, cause, judgement, body, sensory organs, treatment, pharmaceuticals, and end, and can be seen as a work that strongly reflects the moral code of Brahmin and Aryans. 8) In extracting bloody pus, the "Charaka" introduces a 'sharp tool' bloodletting treatment, while the "$Su\scute{s}hruta$" introduces many surgical methods such as the use of gourd dippers, horns, sucking the blood with leeches. Also the "$Su\acute{s}hruta$" has 19 chapters specializing in ophthalmology, and shows 76 types of eye diseases and their treatments. 9) Since anatomy did not develop in Indian medicine, the inner structure of the human body was not well known. The only exception is 'GuXiangXue(骨相學)' which developed from 'Atharvaveda' times and the "$A\d{s}\d{t}\bar{a}nga$ Sangraha $samhit\bar{a}$". In the "$A\d{s}\d{t}\bar{a}nga$ Sangraha $samhit\bar{a}$"'s 'ShenTiLun(身體論)' there is a thorough listing of the development of a child from pregnancy to birth. The '$\bar{A}yurveda$' is not just an ancient traditional medical system but is being called alternative medicine in the west because of its ability to supplement western medicine and, as its effects are being proved scientifically it is gaining attention worldwide. We would like to say that what we have researched is just a small fragment and a limited view, and would like to correct and supplement any insufficient parts through more research of new records.

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조기 위암에서 CT Gastrography를 이용한 위점막 표면 거리 측정 (Measurement of the Mucosal Surface Distance in the Early Gastric Cancer Using CT Gastrography)

  • 최향희;유완식;염헌규;이재혁;최재정;김희수;;;정호영
    • Journal of Gastric Cancer
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    • 제6권3호
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    • pp.161-166
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    • 2006
  • 목적: 위암의 조기발견이 갈수록 많아져서 근래에는 수술 환자에서 조기위암의 비율이 50%를 넘고 있다. 그런데 조기위암은 수술 중 촉각이나 시각에 의해 인지되지 않는 경우가 드물지 않게 있으며 수술 전 위 내시경조차도 병변의 위치에 대한 정확한 정보를 제공하지 못하여 술 중에 절제범위를 결정하는 데 어려움이 있다. 저자들은 이 연구를 통하여 1) CT gastrography를 이용하여 해부학적 경계지점에서부터 조기 위암 병변까지의 생체내 실제의 표면 거리를 측정할 수 있는 소프트웨어를 개발하고 2) 개발된 소프트웨어에 의해 측정된 거리와 술 후 병리 표본에 의해 측정된 거리를 비교하여 수술에서의 유용성을 알고자 하였다. 대상 및 방법: 2004년 1월부터 2005년 9월까지 경북대학교 병원에서 술 전 복부 3차원 CT gastrography를 촬영하고 위 절제술을 시행한 60명의 조기 위암 환자를 대상으로 하였다. 이들은 남자 45명, 여자 15명이었으며 평균 연령은 57.8세였다. 수술 전 컴퓨터 단층촬영은 5 Fr 비위장관을 통해 실내 공기를 흡입시킨 후 시행되었고 이 영상은 절편 두께 0.625 mm의 thin section과 kVp:120, mAs:200의 low dose radiation의 Protocol을 적용하였다. 본 연구에서 개발된 표면거리 측정 소프트웨어를 Rapidia 2.8 CT 3차원 재구성 프로그램과 연동하여 3차원 볼륨 렌더링 및 조기 위암 병변에서 유문, 또는 분문까지의 표면 거리를 측정하였고, 술 후 병리 표본에 의해 측정된 거리와 개발된 소프트웨어에 의해 술 전 생체 내에서 측정된 거리 사이의 관계를 평가하였다. 결과: 병소와 유문, 또는 분문 사이의 거리에 대한 병리 표본과 CT gastrography로부터 측정된 거리간의 차이는 $5.04{\pm}2.97\;mm(range,\;0{\sim}11\;mm)$였으며 CT gastrography에 기초한 거리측정은 병리표본에 비하여 18명의 환자에서는 더 길었고 3명의 환자에서는 더 짧았다. CT gastrography로 측정된 술 전 생체 내 표면거리와 술 후 병리 표본에서 측정된 거리 사이에는 유의한 상관관계가 있었다(r=0.995, P<0.01). 결론: 이러한 결과들은 해부학적 경계지점으로부터 조기위암 병변까지의 표면 거리가 CT gastrography에 의해 정확하게 측정될 수 있다는 사실을 시사한다. 이 기법은 수술적 절제의 적절한 범위를 결정하기 위한 조기 위암의 술 전 위치 결정에 이용될 수 있을 것으로 보인다.

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아유르베다'($\bar{A}yurveda$) 의경(醫經)에 관한 연구 (A Study of The Medical Classics in the '$\bar{A}yurveda$')

  • 김기욱;박현국;서지영
    • 동국한의학연구소논문집
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    • 제10권
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    • pp.119-145
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    • 2008
  • Through a simple study of the medical classics in the '$\bar{A}yurveda$', we have summarized them as follows. 1) Traditional Indian medicine started in the Ganges river area at about 1500 B. C. E. and traces of medical science can be found in the "Rigveda" and "Atharvaveda". 2) The "Charaka(閣羅迦集)" and "$Su\acute{s}hruta$(妙聞集)", ancient texts from India, are not the work of one person, but the result of the work and errors of different doctors and philosophers. Due to the lack of historical records, the time of Charaka(閣羅迦) or $Su\acute{s}hruta$(妙聞)s' lives are not exactly known. So the completion of the "Charaka" is estimated at 1st$\sim$2nd century C. E. in northwestern India, and the "$Su\acute{s}hruta$" is estimated to have been completed in 3rd$\sim$4th century C. E. in central India. Also, the "Charaka" contains details on internal medicine, while the "$Su\acute{s}hruta$" contains more details on surgery by comparison. 3) '$V\bar{a}gbhata$', one of the revered Vriddha Trayi(triad of the ancients, 三醫聖) of the '$\bar{A}yurveda$', lived and worked in about the 7th century and wrote the "$Ast\bar{a}nga$ $Ast\bar{a}nga$ hrdaya $samhit\bar{a}$ $samhit\bar{a}$(八支集) and "$Ast\bar{a}nga$ Sangraha $samhit\bar{a}$(八心集)", where he tried to compromise and unify the "Charaka" and "$Su\acute{s}hruta$". The "$Ast\bar{a}nga$ Sangraha $samhit\bar{a}$" was translated into Tibetan and Arabic at about the 8th$\sim$9th century, and if we generalize the medicinal plants recorded in each the "Charaka", "$Su\acute{s}hruta$" and the "$Ast\bar{a}nga$ Sangraha $samhit\bar{a}$", there are 240, 370, 240 types each. 4) The 'Madhava' focused on one of the subjects of Indian medicine, '$Nid\bar{a}na$' ie meaning "the cause of diseases(病因論)", and in one of the copies found by Bower in 4th century C. E. we can see that it uses prescriptions from the "BuHaLaJi(布唅拉集)", "Charaka", "$Su\acute{s}hruta$". 5) According to the "Charaka", there were 8 branches of ancient medicine in India : treatment of the body(kayacikitsa), special surgery(salakya), removal of alien substances(salyapahartka), treatment of poison or mis-combined medicines(visagaravairodhikaprasamana), the study of ghosts(bhutavidya), pediatrics(kaumarabhrtya), perennial youth and long life(rasayana), and the strengthening of the essence of the body(vajikarana). 6) The '$\bar{A}yurveda$', which originated from ancient experience, was recorded in Sanskrit, which was a theorization of knowledge, and also was written in verses to make memorizing easy, and made medicine the exclusive possession of the Brahmin. The first annotations were 1060 for the "Charaka", 1200 for the "$Su\acute{s}hruta$", 1150 for the "$Ast\bar{a}nga$ Sangraha $samhit\bar{a}$", and 1100 for the "$Nid\bar{a}na$". The use of various mineral medicines in the "Charaka" or the use of mercury as internal medicine in the "$Ast\bar{a}nga$ Sangraha $samhit\bar{a}$", and the palpation of the pulse for diagnosing in the '$\bar{A}yurveda$' and 'XiZhang(西藏)' medicine are similar to TCM's pulse diagnostics. The coexistence with Arabian 'Unani' medicine, compromise with western medicine and the reactionism trend restored the '$\bar{A}yurveda$' today. 7) The "Charaka" is a book inclined to internal medicine that investigates the origin of human disease which used the dualism of the 'Samkhya', the natural philosophy of the 'Vaisesika' and the logic of the 'Nyaya' in medical theories, and its structure has 16 syllables per line, 2 lines per poem and is recorded in poetry and prose. Also, the "Charaka" can be summarized into the introduction, cause, judgement, body, sensory organs, treatment, pharmaceuticals, and end, and can be seen as a work that strongly reflects the moral code of Brahmin and Aryans. 8) In extracting bloody pus, the "Charaka" introduces a 'sharp tool' bloodletting treatment, while the "$Su\acute{s}hruta$" introduces many surgical methods such as the use of gourd dippers, horns, sucking the blood with leeches. Also the "$Su\acute{s}hruta$" has 19 chapters specializing in ophthalmology, and shows 76 types of eye diseases and their treatments. 9) Since anatomy did not develop in Indian medicine, the inner structure of the human body was not well known. The only exception is 'GuXiangXue(骨相學)' which developed from 'Atharvaveda' times and the "$Ast\bar{a}nga$ Sangraha $samhit\bar{a}$". In the "$Ast\bar{a}nga$ Sangraha $samhit\bar{a}$"'s 'ShenTiLun(身體論)' there is a thorough listing of the development of a child from pregnancy to birth. The '$\bar{A}yurveda$' is not just an ancient traditional medical system but is being called alternative medicine in the west because of its ability to supplement western medicine and, as its effects are being proved scientifically it is gaining attention worldwide. We would like to say that what we have researched is just a small fragment and a limited view, and would like to correct and supplement any insufficient parts through more research of new records.

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구강 백반증과 편평태선의 임상·병리조직학적 소견 비교 분석 (Comparative Analysis of Clinical and Histopathological Appearance Between Oral Leukoplakia and Lichen Planus)

  • 유미현
    • 치위생과학회지
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    • 제5권4호
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    • pp.199-204
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    • 2005
  • 51예의 구강 백반증과 149예의 편평태선의 임상적 발현 양상을 비교 분석하고 병리조직 소견에 따른 환자 예후를 추적하여 임상적 병리조직학적 차이점을 고찰하였다. 분석 결과, 연령 분포와 성별, 임상적 특징, 환자의 임상 증상, 상피 이형성 빈도, 임상 추적 관찰 결과 재발 여부 등에 있어 차이를 나타냈다. 구강 백반증과 편평태선의 임상적인 감별점은 구강백반증의 경우 각화증을 유발한 원인, 즉 협점막과 혀의 측면부위에 가해질 수 있는 만성적 자극, 흡연 등의 원인을 제거했을 때 소실되는지의 여부, 편평태선의 경우 전형적으로 양측성 발생과 다발성 병소, 통증이나 압통, 불쾌감과 작열감 등의 증상, 동반되는 피부 병소 등을 들 수 있다. 임상 진단에서 확진을 하지 못하는 경우는 조직 생검을 통하여 최종 진단을 내릴 수 있다.

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Age Differences in Signs and Symptoms of Patients with Temporomandibular Disorders

  • Jo, Jung Hwan;Park, Ji Woon;Kim, Ji Rak;Seo, Hyong Duk;Jang, Ji Hee;Chung, Jin Woo
    • Journal of Oral Medicine and Pain
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    • 제40권2호
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    • pp.55-62
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    • 2015
  • Purpose: The aims of this study were to evaluate the differences in subjective symptoms, clinical characteristics, distribution according to Research Diagnostic Criteria for Temporomandibular Disorders (RDC/TMD) subgroup, psychological profile of TMD patients, and to identify the prevalence and trend according to age. Methods: A total of 1,052 patients (261 men and 791 women; mean age, $34.40{\pm}15.73$ years) who visited the Orofacial Pain Clinic of the Department of Oral Medicine, Seoul National University Dental Hospital complaining of TMD symptoms of were evaluated. All patients were questioned for medical history, clinical symptoms and contributing factors. Clinical examination and patient grouping based on RDC/TMD was conducted. Radiographies were taken. The Korean version of RDC/TMD axis II and Symptom Checklist-90-Revision (SCL-90-R) were administered to evaluate pain-related disability level and psychological status of the patients. Results: Prevalence peaked in the 20-year-old age group. There were more women than men in all groups. The highest T-score among SCL-90-R dimensions was somatization in each group, except for teenagers who showed the highest T-score in interpersonal sensitivity. The 30-year-old age group showed the highest distribution of high disability based on the graded chronic pain scale. Age was positively associated with pain intensity (r=0.100), number of positive muscles on palpation (r=0.137) and negatively associated with maximum mouth opening (r=-0.168). Conclusions: Subjective symptoms and clinical characteristics of TMD patients show distinct tendencies according to different age groups. Treatment should be customized and personalized according to age for efficient symptom resolution and patient satisfaction.

X-ray 및 초음파 영상을 활용한 고관절 이형성증 진단을 위한 특징점 검출 딥러닝 모델 비교 연구 (A comparative study on keypoint detection for developmental dysplasia of hip diagnosis using deep learning models in X-ray and ultrasound images)

  • 김성현;이경수;이시욱;장진호;황재윤;김지훈
    • 한국음향학회지
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    • 제42권5호
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    • pp.460-468
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    • 2023
  • 고관절 이형성증(Developmental Dysplasia of Hip, DDH)은 영유아 성장기에 흔히 발생하는 병리학적 상태로, 영유아의 성장을 방해하고 잠재적인 합병증을 유발하는 원인 중 하나이며 이를 조기에 발견하고 치료하는 것은 매우 중요하다. 기존의 DDH 진단 방법으로는 촉진법과 X-ray 또는 초음파 영상 기반 고관절에서의 특징점 검출을 이용한 진단 방법이 있지만 특징점 검출 시 객관성과 생산성에 제한점이 존재한다. 본 연구에서는 X-ray 및 초음파 영상을 이용한 딥러닝 모델 기반 특징점 검출 방법을 제시하고, 다양한 딥러닝 모델을 이용하여 특징점 검출의 성능을 비교 분석하였다. 또한, 부족한 의료 데이터를 보완하는 방법인 다양한 데이터 증강 기법을 제시하고 비교 평가하였다. 본 연구에서는 Residual Network 152(ResNet152) 및 Simple & Complex augmentation 기법을 적용하였을 때 가장 높은 특징점 검출 성능을 보여주었으며, X-ray 영상에서 평균 Object Keypoint Similarity(OKS)가 약 95.33 %, 초음파 영상에서는 약 81.21 %로 각각 측정되었다. 이러한 결과는 고관절 초음파 및 X-ray 영상에서 딥러닝 모델을 적용함으로써 DDH 진단 시 특징점 검출에 관한 객관성과 생산성을 향상시킬 수 있음을 보여준다.