• 제목/요약/키워드: Minor disease

검색결과 240건 처리시간 0.027초

Occurrence of Sclerotinia Rot on Composite Vegetable Crops and the Causal Sclerotinia spp.

  • Kim, Wan-Gyu;Cho, Weon-Dae
    • Mycobiology
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    • 제30권1호
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    • pp.41-46
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    • 2002
  • Composite vegetable crops grown in greenhouses and open fields in Korea were surveyed from 1995 to 1999. Occurrence of Sclerotinia rot was observed in 123 of 277 lettuce fields, in 11 of 18 head lettuce fields, in 12 of 14 endive fields, and in 4 of 38 garland chrysanthemum fields surveyed during the growing seasons. The disease most severely occurred up to 80% on lettuce. Incidence of the disease was as high as 20% at its maximum on endive and garland chrysanthemum but relatively low on head lettuce. Symptoms of the disease developed on leaves of all the composites, crowns of lettuce and head lettuce, and stems of garland chrysanthemum. Out of 240 isolates of Sclerotinia species obtained from the diseased composites, 169 isolates were identified as Sclerotinia sclerotiorum, and the others as S. minor based on their morphological and cultural characteristics. S. sclerotiorum was isolated from all the composites, and S. minor only from lettuce and endive. Eight isolates of S. sclerotiorum and four isolates of S. minor were tested for their pathogenicity to the composites by artificial inoculation. All the isolates of the two Sclerotinia spp. induced rot symptoms on the plants of the composites by artificial inoculation, which were similar to those observed in the fields. The pathogenicity tests revealed that there is no significant difference in virulence of the isolates to the composites and in susceptibility of the composites to the isolates.

의료이용 동기에 따른 의료기관 선택요인 (The Selection of the Medical Institutions by Motivation of Medical Service Utilization)

  • 김정연
    • 디지털융복합연구
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    • 제13권11호
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    • pp.217-230
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    • 2015
  • 본 연구는 의료이용 동기(경증, 중증, 만성질환관리, 미용)에 따른 의료기관 선택기준의 차이를 알아보기 위해 시행되었다. 의료이용 동기에 따른 병원선택요인의 중요도는 감기와 같은 경증질환의 경우 진료능력, 친절, 신속, 접근성 순이었으며 암과 같은 중증질환의 경우와 미용의 경우는 진료능력, 시설, 평판, 진료비 순이었고 합병증 없는 고혈압관리와 같은 만성질환 관리의 경우는 진료능력, 시설, 친절, 진료비 순이었다. 의료이용 동기와 관계없이 진료능력은 의료기관 선택에 가장 중요한 요인이었으며 중증질환의 경우 접근성을 제외한 모든 요인에 대한 중요도가 높았다. 결론적으로 의료이용자들은 의료이용 동기, 질병의 심각성과 위급성 등을 복합적으로 고려하여 의료기관을 선택하며 같은 경우라도 인구학적 특성 및 정보탐색행태에 따라서 달라진다는 점을 알 수 있었다. 이에 의료기관의 경쟁우의를 확보하기 위해 수동적인 태도, 타 의료기관의 무조건적인 모방이 아니라 의료기관 선택요인에 대한 이해를 바탕으로 타 의료기관과 차별화하는 전략을 세워야 할 것이다.

Sialolithiasis of minor salivary gland: a challenging diagnostic dilemma

  • Matiakis, Apostolos;Tzermpos, Fotios
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • 제47권2호
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    • pp.145-148
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    • 2021
  • Minor salivary gland sialolithiasis (MSGS) is a not uncommon oral mucosal disease. Its clinical appearance may mimic a mucocyst or other benign submucosal overgrowth. Stasis of saliva, which accompanies MSGS, usually results in minor salivary gland inflammation, with a chronic sialadenitis appearance. MSGS typically is a painless lesion but can become painful when the salivary gland parenchyma or excretory duct becomes infected, with or without pus. However, misdiagnosis of this condition is rather common, as the clinical appearance is asymptomatic. The most common location is the upper lip, and MSGS affects males and females, with a slight predilection for males. The sialolith causing MSGS may be obvious during surgical excision, as in the case reported. In other cases, sialolith may be absent or fragmented. Differential diagnosis includes mucocele, swelling due to local irritation like fibroma and diapneusia, chronic abscess of the oral mucosa, and neoplasms either benign (lymphangioma, pleiomorphic adenoma) or malignant. Histopathological examination is needed to establish clinical diagnosis.

Occurrence of Sclerotinia Rot in Solanaceous Crops Caused by Sclerotinia spp.

  • Kim, Wan-Gyu;Cho, Weon-Dae
    • Mycobiology
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    • 제31권2호
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    • pp.113-118
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    • 2003
  • Solanaceous crops grown in greenhouses and fields in Korea were surveyed from 1994 to 2000. Sclerotinia rot most severely occurred up to 60% in potato. Incidence of the disease was as high as 20% at its maximum in tomato and 5% in eggplant, but as low as less than 1% in red pepper. Symptoms of Sclerotinia rot commonly developed on stems of the solanaceous crops but rarely on fruits of eggplant and tomato. A total of 169 isolates of Sclerotinia species was obtained from the diseased solanaceous crops. Out of the isolates, 165 isolates were identified as S. sclerotiorum, and the others as S. minor based on their morphological and cultural characteristics. S. sclerotiorum was isolated from all the solanaceous crops, while S. minor was only isolated from tomato. Eight isolates of S. sclerotiorum and two isolates of S. minor were tested for their pathogenicity to the solanaceous crops by artificial inoculation. All the isolates of the two Sclerotinia spp. induced rot symptoms on stems of the solanaceous crops tested, which were similar to those observed in the fields. The pathogenicity tests revealed that there was no significant difference in the susceptibility of the solanaceous crops to the isolates of S. sclerotiorum. However, in case of S. minor, the potato cultivar Sumi was relatively less susceptible to the pathogen.

Occurrence of Sclerotinia Rot in Cruciferous Crops Caused by Sclerotinia spp.

  • Kim, Wan-Gyu;Cho, Weon-Dae
    • The Plant Pathology Journal
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    • 제19권1호
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    • pp.69-74
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    • 2003
  • Cruciferous crops grown in greenhouses and fields in Korea were surveyed from 1995 to 2000. Sclerotinia rot most severely occurred up to 30% in cabbage. Incidence of the disease was as high as 20% at its maximum in Chinese cabbage and rape and 10% in radish, but as low as less than 1 or 2% in broccoli and kale. Symptoms of Sclerotinia rot commonly developed on loaves and stems of the crucifers, but rarely on rachises of broccoli. A total of 112 isolates of sclerotinia species was obtained from the diseased crucifers. Out of the isolates, 103 isolates were identified as S. sclerotiorum, and the rest as 5. minor based on their morphological and cultural characteristics. S. sclerotiorum was isolated from all the crucifers, while S. minor was isolated from Chinese cabbage, broccoli, and kale. Six isolates of S. sclerotiorum and three isolates of S. minor were tested for their pathogenicity to the crucifers by artificial inoculation. All the isolates of the two Sclerotinia spp. induced rot symptoms on the plants of the crucifers tested, which were similar to those observed in the fields. The pathogenicity tests revealed that there was no significant difference in the susceptibility of the crucifers to the isolates of S. sclerotiorum. However, in case of S. minor, radish was relatively less susceptible to the pathogen.

Selective Carotid Shunting Based on Intraoperative Transcranial Doppler Imaging during Carotid Endarterectomy: A Retrospective Single-Center Review

  • Cho, Jun Woo;Jeon, Yun-Ho;Bae, Chi Hoon
    • Journal of Chest Surgery
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    • 제49권1호
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    • pp.22-28
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    • 2016
  • Background: Carotid endarterectomy (CEA) with selective shunting is the surgical method currently used to treat patients with carotid artery disease. We evaluated the incidence of major postoperative complications in patients who underwent CEA with selective shunting under transcranial Doppler (TCD) at our institution. Methods: The records of 45 patients who underwent CEA with TCD-based selective shunting under general anesthesia from November 2009 to June 2015 were reviewed. The risk factors for postoperative complications were analyzed using univariate and multivariate analysis. Results: Preoperative atrial fibrillation was observed in three patients. Plaque ulceration was detected in 10 patients (22.2%) by preoperative computed tomography imaging. High-level stenosis was observed in 16 patients (35.5%), and 18 patients had contralateral stenosis. Twenty patients (44.4%) required shunt placement due to reduced TCD flow or a poor temporal window. The 30-day mortality rate was 2.2%. No cases of major stroke were observed in the 30 days after surgery, but four cases of minor stroke were noted. Univariate analysis showed that preoperative atrial fibrillation (odds ratio [OR], 40; p=0.018) and ex-smoker status (OR, 17.5; p=0.021) were statistically significant risk factors for a minor stroke in the 30-day postoperative period. Analogously, multivariate analysis also found that atrial fibrillation (p<0.001) and ex-smoker status (p=0.002) were significant risk factors for a minor stroke in the 30-day postoperative period. No variables were identified as risk factors for 30-day major stroke or death. No wound complications were found, although one (2.2%) of the patients suffered from a hypoglossal nerve injury. Conclusion: TCD-based CEA is a safe and reliable method to treat patients with carotid artery disease. Preoperative atrial fibrillation and ex-smoker status were found to increase the postoperative risk of a small embolism leading to a minor neurologic deficit.

당뇨병성 족부 질환에 의한 하지 절단 후 임상적 분석과 결과 (Clinical Analysis and Results after the Amputations of Lower Extremities due to Diabetic Foot)

  • 김택선;강종우;이상준;허영재;김학준
    • 대한족부족관절학회지
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    • 제13권1호
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    • pp.50-54
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    • 2009
  • Purpose: The authors evaluated the clinical results and prognosis after amputating the lower extremity due to diabetic foot. Materials and Methods: From 1991 to 2003, the patients who had suffered amputation of his lower extremity due to diabetic foot ulcer were evaluated retrospectively. 79 patients were male and 6 patients were female. The author evaluated the patient who had the ipsilateral additional surgery, contralateral amputation, level of blood sugar, combined disease and mortality rate within 5 years from medical record. Statistical analysis was done by Chi-square test and Kaplan-Meier survival test. Results: Mean age of patients who had first experienced amputation was 63.4 years old. The mean duration of diabetes until amputation was $14.5{\pm}7.5$ years. Major amputations were 50 cases and minor amputations 35 cases. 20 patients (23.5%) were suffered ipsilateral secondary surgery including revised stump. Overall 5-year mortality rate was 18.8% (16 cases). Death rate within 1 year was 8.2% (7 cases), mortality rate within 3 years was 14.1% (12 cases). 5-year mortality rate after major amputation was 20% (10 cases) and after minor amputation was 17.1% (6 cases). It was statistically significant (p<0.05). Patient who underwent more than 2 combined vascular related disease had higher mortality rate than diabetic amputee without combined disease (p<0.05). Conclusion: Mortality rate after major amputation was significant higher than amputation after minor amputation in diabetic patients from our data.

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한국에서 Sclerotinia minor에 의한 쑥부쟁이 균핵병 발생 (Occurrence of Sclerotinia Rot by Sclerotinia minor on Aster yomena in Korea)

  • 이상엽;최효원;원항연;한지희;김다연;안성호
    • 한국균학회지
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    • 제46권2호
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    • pp.200-204
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    • 2018
  • 2016년 4월에 한국 구례지역에서 재배하는 쑥부쟁이 줄기에 균핵병이 발생하였다. 그 병징은 주로 줄기에 발생하여 물러 썩어서 심하면 식물체가 마른다. 흰색 균사가 감염된 식물체 줄기와 땅 표면에 퍼져있으며, 병든 줄기 내와 병 발생 부위에 작은 흑색 균핵을 형성하였다. 균핵병은 쑥부쟁이 재배 포장에서 20~80% 높게 발생하였다. 분리균의 형태적 특성 및 유전자 분석에 의하여 이 균은 Sclerotinia minor로 동정하였다. 한국에서 쑥부쟁이에서 분리한 Sclerotinia minor에 의한 균핵병 발생을 처음으로 보고한다.

『상한론(傷寒論)』 변병진단체계(辨病診斷體系)에 근거하여 죽엽석고탕(竹葉石膏湯) 투여 후 호전된 공황장애 1례 (A Case Report of Panic disorder treated by Jukyeopseokgo Tang based on Shanghanlun Provisions)

  • 김대담
    • 대한상한금궤의학회지
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    • 제8권1호
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    • pp.155-164
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    • 2016
  • Objective : The purpose of this paper is to report the improvement of patient with panic disorder treated by herb medication based on Shanghanlun disease pattern identification diagnostic system. Methods :, The patient with panic disorder was diagnosed according to 'Disease Pattern Identification Diagnostic System based on Shanghanlun Provisions'. The changing symptom of panic disorder was estimated by BAI(Beck Anxiety Inventory). Results : The patient was diagnosed with yin-yang-yi-cha-hou-lao-fu bing, number 397 provision, and took Jukyeopseokgo-tang herb medication about 113 days. The BAI score changed 37 to 12. Conclusions : The therapeutic intervention and herb medication showed a therapeutical effect on the patient. The anxiety and helplessness of the patient was improved. This patient's panic disorder was associated with poor sleep patterns and sensitivity to minor things and controled by Jukyeopseokgo-tang. The relationships between poor sleep patterns and 陰陽易差後勞復病, shortness of breath when sensitive to minor things and 少氣 need further study.

Safety of Stress Cardiac Magnetic Resonance in Patients With Moderate to Severe Aortic Valve Stenosis

  • Janek Salatzki;Andreas Ochs;Nadja Kirchgassner;Jannick Heins;Sebastian Seitz;Hauke Hund;Derliz Mereles;Matthias G. Friedrich;Hugo A. Katus;Norbert Frey;Florian Andre;Marco M. Ochs
    • Journal of Cardiovascular Imaging
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    • 제31권1호
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    • pp.26-38
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    • 2023
  • BACKGROUND: Dobutamine and adenosine stress cardiac magnetic resonance (CMR) imaging is relatively contraindicated in patients with moderate to severe aortic valve stenosis (AS). We aimed to determine the safety of dobutamine and adenosine stress CMR in patients with moderate to severe AS. METHODS: In this retrospective study patients with AS who underwent either dobutamine or adenosine stress CMR for exclusion of obstructive coronary artery disease were enrolled. We recorded clinical data, CMR and echocardiography findings, and complications as well as minor symptoms. Patients with AS were compared to matched individuals without AS. RESULTS: A total of 187 patients with AS were identified and compared to age-, gender- and body mass index-matched 187 patients without AS. No severe complications were reported in the study nor the control group. The reported frequency of non-severe complications and minor symptoms were similar between the study and the control groups. Nineteen patients with AS experienced non-severe complications or minor symptoms during dobutamine stress CMR compared to eighteen patients without AS (p = 0.855). One patient with AS and two patients without AS undergoing adenosine stress CMR experienced minor symptoms (p = 0.562). Four examinations were aborted because of chest pain, paroxysmal atrial fibrillation and third-degree atrioventricular block. Inducible ischaemia, prior coronary artery bypass grafting, prior stroke and age were associated with a higher incidence of complications and minor symptoms. CONCLUSIONS: Moderate to severe AS was not associated with complications during CMR stress test. The incidence of non-severe complications and minor symptoms was greater with dobutamine.