• 제목/요약/키워드: Old patient

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Gait Recovery Characteristic According to the Injury Aspect of Descending Motor Pathway in a Chronic Stroke Patient: a Case Study

  • Sang Seok Yeo
    • The Journal of Korean Physical Therapy
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    • 제34권6호
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    • pp.326-331
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    • 2022
  • Purpose: The stroke patients have gait dysfunction due to impaired neural tracts; corticospinal tract (CST), corticoreticular pathway (CRP), and vestibulospinal tract (VST). In this study, we investigated characteristics of gait pattern according to the injury aspect of the neural track in a stroke patient. Methods: One patient and six control subjects of similar age participated. A 19-year-old male patient with spontaneous intracerebral hemorrhage on right basal ganglia, thalamus, corona radiata and cerebral cortex due to arteriovenous malformation rupture. Diffusion tensor imaging (DTI) data was acquired 21 months after the stroke. Kinematic and spatio-temporal parameters of gait were collected using a three-dimensional gait analysis system. Results: On 21 months DTI, the CST and CRP in affected hemisphere showed severe injury, in contrast, the VST in affected hemisphere showed intact integrity. Result of gait analysis, walking distance and speed were significantly decreased in a patient. The stance rate of unaffected lower limb, the swing rate of affected lower limb and the duration of double stance significantly increased compared with normal control. The knee and hip joint angle were significantly decreased in a patient. Conclusion: We found recovered independent gait ability may be associated with unimpaired VST in a patient with severe injury in CST and CRP.

한방안이비인후피부과에 내원한 피부질환 환자의 임상적 고찰 (A Clinical Analysis of Out-Patient with Skin Disease)

  • 정아름누리;홍승욱
    • 한방안이비인후피부과학회지
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    • 제20권2호통권33호
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    • pp.151-160
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    • 2007
  • Objective : This study was performed to examine the patterns of skin disease in patients that had visited Dept. of Dermatology Hospital of Oriental Medicine, Dongguk University. We also compared on disease, age and treatment. Methods : We analysed statistic study in 505 patients, who had visited to our hospital from July, 2005 to February, 2007. Results : The results were as follows; 1. Distribution of dermatology classification was 40.6%, males were 41 % and females were 59%. 2. Distribution of aging was 18.2% in 0-9 years old and 18.8% in 10-19 years old and 17.4% in 20-29 years old. 3. Common disease group were Atopic dermatitis (24.55%); Acne (10.89%); Eczema (10.89%); Urticaria (10.30%). 4. Distribution of treatment according to diagnosis were external preparation in atopic dermatitis, acne, eczema, dermatitis seborrheica ; herbal-medication in urticaria ; herbal-medication and external preparation in facial redness. 5. Distribution of treatment according to aging were external preparation in all group except 50-59 years old; acupuncture treatment in 20-29 years old; herbal-medication in 10-19 years old; consultation in 70-79 years old. Conclusion : This study suggests that oriental medical treatments is popular in dermatologic diseases, especially atopic dermatitis and acne. We have to take steps for effective management and treatment for special diseases and ages.

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Sterile Necrosis of the Sternum: A Rare Complication Following Coronary Artery Bypass Surgery

  • Papadakis, Emmanouel;Konstantinidou, Maria Kalliopi;Kanakis, Meletios A.
    • Journal of Chest Surgery
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    • 제50권6호
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    • pp.460-462
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    • 2017
  • We herein present the unique case of a 68-year-old male diabetic patient who developed sterile necrosis of the sternum 1 month after myocardial revascularization with the use of bilateral internal thoracic artery grafts. The sternum had been closed by the bilateral Robicsek wiring technique. The sternum was removed, and bilateral pectoralis major flaps were used to cover the defect. The patient had an uneventful recovery.

성인형 주관절 박리성 골연골염 - 1례 보고 - (The Osteochondritis Dissecans of The Adult Elbow - A Case Report -)

  • 문영래;유재원;조삼호
    • Clinics in Shoulder and Elbow
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    • 제3권2호
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    • pp.115-117
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    • 2000
  • Adult type of osteochondritis dissecans of elbow is very rare condition. We describe a case of a osteochondritis dissecans of capitellum in 51-year-old male patient. We performed arthroscopy procedure for removal of loose osteochondral fragments. After I year follow-up, the patient gained good result.

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식도 평활근종의 수술 치험 1례 (Leiomyoma of the Esophagus - A Case Report -)

  • 유재현;임승평
    • Journal of Chest Surgery
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    • 제24권6호
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    • pp.590-594
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    • 1991
  • We experienced a case of leiomyoma on proximal thoracic esophagus. The patient, a 42-year-old female, noted the insidious onset of dysphagia and chest discomfort for 6 months. Esophagogram showed a smooth filling defect in upper third of thoracic esophagus, T1-T4 level and esophagoscopy revealed a firm mobile mass about 6cm in length with normal overlying mucosa. The lesion was approached the Rt. posterolateral thoracotomy through 4th ICS and enucleated of tumor without difficulty. The patient`s hospital course was uncomplicated.

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대동맥판막 및 상행대동맥 대치이식술 1례 - Bentall씨 수술 변형술 - (A Successful Replacement of Ascending Aorta and Aortic Valve With a composite Graft)

  • 조경수
    • Journal of Chest Surgery
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    • 제22권4호
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    • pp.693-697
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    • 1989
  • A forty-eight-year-old female patient with ascending aortic aneurysm with aortic insufficiency underwent a modified Bentall operation. The ascending aorta and the aortic valve were replaced with a composite graft containing a St. Jude valve. The coronary orifices were anastomosed to the tubular Dacron prosthesis by means of a second smaller Gore-Tex tube, and a fistula between the aneurysmal sac and the right atrial appendage was created to drain oozing from the prosthesis. The postoperative course was uneventful and the patient was discharged without complication. She is doing well on the 14 months follow-up.

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성인의 견인성 식도게실이 동반된 선천성 식도 기관지루 -1예 보고- (Congenital esophagobronchial fistula associated with esophageal traction diverticulum in adult -Report of one case-)

  • 심성보
    • Journal of Chest Surgery
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    • 제24권5호
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    • pp.510-514
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    • 1991
  • A fistulous communication between an esophageal traction diverticulum and the tracheo-bronchial tree appears to be of rare occurrence. This report reviews the feature of congenital esophagobronchial fistula associated with esophageal traction diverticulum. This 38-year-old male patient suffered from coughing, hemoptysis, fever and chest pain. This patient was taken a diverticulectomy and lobectomy of right lower lobe. Post-operation course was uneventful.

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기관지 압박을 초래한 만성 해리성 대동맥류(Type B) -임상적 치험 1례- (Tracheal Compression by Xhronic Dissecting Aeurysm(TYpe B) -A Case Report-)

  • 송정근
    • Journal of Chest Surgery
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    • 제28권3호
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    • pp.328-331
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    • 1995
  • A 42-year-old Marfan female had a chronic dissection of the descending aorta[Type B and the aneurysmal expansion of the descending aorta caused compression of the trachea resulting in respiratory distress which mimicked bronchial asthma. The patient has been successfully managed by resection and replacement of the aneurysm in the descending aorta. The operation could be done without the aid of the partial cardiopumonary bypass. As the patient had been prepared by unilateral axillo-bifemoral by-pass using prosthetic graft 8mm in diameter 10days prior to the main operation.

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종격동에 발생한 미성숙 기형종: 1례 보고 (Immature Teratoma at Anterior Mediatinum - Report of one case -)

  • 이재필
    • Journal of Chest Surgery
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    • 제25권4호
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    • pp.435-437
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    • 1992
  • We experienced one case of immature teratoma at anterior mediastinum. the patient was Syears old female whose complain were cough and chest pain. Chest film showed mass density St the lower half of the Rt chest. Chest CT showed inhomogenous mass which have some calcified area. At the time of operation, 12x10x13cm sized mass have smooth surface and its stump elongated to the thymus. a-FP level, preoperative 22.5ng/ml, was decreased to 9.7ng/ml after operation. Postoperative adjuvant chemotherapy was performed with Vinblastin, Bleomycin and Cisplatin combination. The patient had an uneventful postoperative or postchemotherapy course and was discharged in a good condition.

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폐에 발생한 원발성 융모막 상피종 치험 1례 (One Case Report of Primary Choriocarcinoma of the Lung)

  • 김기만
    • Journal of Chest Surgery
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    • 제23권2호
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    • pp.366-369
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    • 1990
  • Primary choriocarcinoma of the lung is extremely rare. The patient was 28-year-old female and had no specific signs and symptoms except right chest pain for 5 years. On simple chest film, 8X8 cm sized, well demarcated, homogeneous ovoid mass was found on right lower lung field. The qualitative urine \ulcorner-HCG was 17140 mIU/ml. The result of percutaneous needle biopsy highly suggested choriocarcinoma. Under the impression of primary choriocarcinoma of the lung, right middle and lower lobectomy was done. On 33 postoperative days, serum \ulcorner-HCG level was within normal limit, the patient was discharged without complications after one-cycle chemotherapy.

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