• Title/Summary/Keyword: Old medical

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Traumatic hematoma-based pseudoaneurysm of the superficial temporal artery in a 7-year-old boy: a case report

  • Dae Hwan Park;June Key Lee;Bong Soo Baik;Wan Suk Yang;Sun Young Kim
    • Archives of Craniofacial Surgery
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    • v.24 no.1
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    • pp.32-36
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    • 2023
  • The superficial temporal artery (STA), the terminal branch of the external carotid artery, is divided into the frontal (anterior) and parietal (posterior) branches. The frontal branch of the STA is located superficially on the anterior region of the scalp, making it especially susceptible to trauma. Here, we report a traumatic pseudoaneurysm of the STA in a 7-year-old boy who was injured in a minor car accident. A physical examination showed only a small bruise on the patient's forehead, and all vital signs were stable at the emergency room of our medical center. A facial computed tomography scan showed no significant findings. However, the boy later re-visited the hospital with slight swelling on the right forehead, and an ultrasonography scan revealed a hematoma near the right temporal artery. The resected hematoma (approximately 2 cm) was diagnosed as a traumatic pseudoaneurysm. Awareness of the possibility of a traumatic pseudoaneurysm in the STA may prevent a circumspect diagnosis in the future.

Two Cases of Robot-Assisted Totally Minimally Invasive Esophagectomy with Colon Interposition for Gastroesophageal Junction Cancer: Surgical Considerations

  • Kinam Shin;In Ha Kim;Yun-Ho Jeon;Chung Sik Gong;Chan Wook Kim;Yong-Hee Kim
    • Journal of Chest Surgery
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    • v.57 no.3
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    • pp.323-327
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    • 2024
  • This case report presents 2 patients with gastroesophageal junction cancer who both underwent totally minimally invasive esophagectomy with colon interposition. Patients 1 and 2, who were 43-year-old and 78-year-old men, respectively, had distinct clinical presentations and medical histories. Patient 1 underwent minimally invasive robotic esophagectomy with a laparoscopic total gastrectomy, colonic conduit preparation, and intrathoracic esophago-colono-jejunostomy. Patient 2 underwent completely robotic total gastrectomy, colon conduit preparation, and intrathoracic esophago-colono-jejunostomy. The primary challenge in colon interposition is assessing colon vascularity and ensuring an adequate conduit length, which is critical for successful anastomosis. In both cases, we used indocyanine green fluorescence angiography to evaluate vascularity. Determining the appropriate conduit is challenging; therefore, it is crucial to ensure a slightly longer conduit during reconstruction. Because totally minimally invasive colon interposition can reduce postoperative pain and enhance recovery, this surgical technique is feasible and beneficial.

Subject Classification and the Characteristics of Old Oriental Medicine Literature Focused on Web services of Oriental medicine knowledge and information resources (한의학 고문헌의 주제 분류와 자료적 특성 - 한의학 지식정보자원 웹서비스를 중심으로 -)

  • Lee, Jeong-Hwa
    • The Journal of Korean Medical History
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    • v.19 no.1
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    • pp.65-76
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    • 2006
  • The present study examined subject classification and the characteristics of old Oriental medicine literature focused on Web services of Oriental medicine knowledge and information resources. For this, we reviewed how subject classification is applied to Oriental medicine in the codified literature classification table and, based on the results, examined how the classification system is used in libraries. Second, subject classification and the characteristics of old Oriental medicine literature were studied focused on Web services of Oriental medicine knowledge and information resources, and related problems and solutions were suggested.

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Height and Bone Phenotype of 22q11.2 Deletion Syndrome: Lessons from the Gene Analysis of Three Cases

  • Kim, Bu Kyung;Sohn, Young Bae;Park, Sang-Jin;Yim, Shin-Young;Chung, Yoon-Sok
    • Journal of Genetic Medicine
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    • v.10 no.2
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    • pp.120-123
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    • 2013
  • This report describes three cases of 22q11.2 deletion syndrome (22q11.2DS) diagnosed by array comparative genomic hybridization with final adult height and bone phenotype. The cases involved a 57-year-old woman with hypocalcemic seizure, an 18-year-old man with short stature, and a 24-year-old woman incidentally diagnosed as 22q11.2DS. The first two patients revealed short stature and low bone mineral density, and their deletion sites included the $TBX_1$. The third patient had normal stature and normal bone mineral density, and the deletion site did not include the $TBX_1$. The deletion of specific genes including the $TBX_1$ could be an important factor of skeletal development including height and bone mineral density of 22q11.2DS.

A Case Report of Korean Traditional Medical Therapy for Patient of Hemoptysis with Old Pulmonary Tuberculosis (객혈을 주소로 하는 폐결핵 환자의 치험 1례)

  • Chang, Mun-Won;Choi, Seong-Hwan;Kang, Ji-Sun;Moon, Seung-Hee;Kim, Min-Ji;Kim, Yoon-Sik;Seol, In-Chan;Jo, Hyun-Kyung
    • Herbal Formula Science
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    • v.16 no.2
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    • pp.255-261
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    • 2008
  • Hemoptysis is a common clinical symptom responsible for about 10% of the patients who has the pulmonary disease. In Korea, pulmonary tuberculosis is still the most common cause of the hemoptysis. This study is a chlinical report of Korean Traditional Medical Therapy for the patient of hemopysis with old pulmonary tuberculosis. The patient was suffering from hemoptysis, headache, sweating, feeling of uneasiness and fatigue. After administration of herbal medicines (Bokryungbosim-tang, Yukmijihwangwon-gagambang) and acupunture treatment for 34days, these symptoms of the patient were improved. Thus, we concluded that Oriental Medical Treatment can improve the symptoms of the patient who is suffering from hemoptysis.

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The Utilization of Western and Oriental Medical Services by Outpatients with Musculoskeletal System Disorders and Its Related Factors (근골격계질환자의 양.한방 외래 의료이용과 관련요인)

  • Kim, Sung-Young;Park, Jae-Young
    • The Korean Journal of Health Service Management
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    • v.6 no.1
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    • pp.27-38
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    • 2012
  • This study is to find out the correlation among the predisposing, enabling, and need factors in Anderson Behavioral Model using the data from Korea Medical Panel Survey conducted in the early part (April 1 - October 31) of 2008. The findings are as follows. It was found that the utilization rate of western medical service was far higher. the influential factor to choose western or oriental medical service taking western medical institutions as the reference group, the influential factor to choose oriental medical institution has significantly increased when the patient who have covered by medical insurance has one accompanied disease and their age was between 45 - 74, compared to the people less than 45 years old. It also increased when the age of the patient was between 45-54 years old, and in the event those who are not covered by medical insurance have accompanied disease and that the disease mobility period is 2-4 years. reviewing the several characteristics of the utilization of western and oriental medical services by the patient with musculoskeletal system disorders, the number of accompanied disease is an influential factor for the utilization of oriental medical services. And, disease mobility period is a significant factor for the utilization of both western and oriental medical services together, though it is not identified in this study. Therefore, it is expected that mutual cooperation between western and oriental medical services is more required for the patient with musculoskeletal system disorders as the aging society rapidly develops. In order to foster oriental medicine, it is required to specialize in competitive disease such as musculoskeletal system disorders.

Relationships between the sensory, cognitive and physical functions of young-old and old-old individuals (전·후기 노인들의 감각기능, 인지기능과 신체기능 간의 관련성)

  • Jeon, So-Youn;Lee, Sok-Goo
    • Korean Journal of Health Education and Promotion
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    • v.33 no.5
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    • pp.23-36
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    • 2016
  • Objectives: This study aims to define the relationships between the sensory, cognitive and physical functions of young-old and old-old individuals. Methods: Participants were 10,451 elderly individuals aged 65 and above, raw data of a 2014 National Survey on Korean Older Persons was used. To investigate the relationships among the sensory, cognitive, and physical functions, a structural equation model was used. Results: The key analysis results are summarized as follows; 5% had poor vision function(young-old 3.5%, old-old 7.1%), 3.8% had poor auditory function(young-old 1.7%, old-old 6.7%), 33.0% had decline in cognitive function(young-old 30.9%, old-old 35.7%), 3.6% were disabled(young-old 1.6%, old-old 6.3%) and cognitive function influences physical function more greatly than does sensory function. Additionally, in the young-old groups, vision among sensory functions, attention among cognitive functions, and IADL among physical functions, turned out to be the most influential. However, in the old-old groups, auditory function among sensory functions, orientation among cognitive functions, and IADL among physical functions, turned out to be the most influential. Conclusions: This study implies that functions in the young-old and old-old individuals must be considered with all three functions-sensory, cognitive, and physical-together at the same time and that this comprehensive approach is necessary in national policy making.

A Study on Attitude Toward Oriental Medical Care Treatment Provided by Health Centers in a Designated Rural Areas (군보건소 한방진료실 이용자의 한방진료에 대한 태도분석)

  • Kim, Jin-Soon;Kim, Eun-Joo
    • Journal of agricultural medicine and community health
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    • v.17 no.1
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    • pp.25-33
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    • 1992
  • Most of oriental medical care resources such as doctors and facilities are distributed in urban areas and approximately ten percent of them is in rural areas. However the aged population of over 60 years old in rural areas is higher than that in urban and these aged population prefer more oriental medical care than the other age group. Therefore, the government planned to carry out the oriental medical care demonstration project in a designated rural areas in 1990. The study was carried out to find out the utilization pattern of medical care and consumers attitude toward oriental medical care treatment provided by health centers. The interview survey was applied to collect the data and 187 patients, who visited to health centers to receive care in 1991, were selected by random sampling. The study results obtained were as follows : 1) Among the 187 respondents, male was 31.6% and female, 68.4%. 2) 73.8% of the respondents were the age of over 45 years old. 3) For the motivation of visiting the health center to receive oriental medical care, 37.4% of the respondents visited purposely according to announcement of oriental medical care and 26.2% of them made a decision by themself 20.3% of them was recommended by the neighbors. 4) The most frequent symptoms surveyed were the disease of the musculoskeletal system and connective tissue. 5) By the subjective judgement of the respondents from the result of the oriental medical treatment, recovered or improved cases represent 69.5%. It is considered that the oriental medical care was acceptable, and also the respondents were satisfied with the oriental medical care in terms of kindness of oriental medical doctors, treatment time and expenses of care.

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